Blue Medicare Rx Enhanced (PDP)
$163.20 /month
Monthly Premium
$0.00
Annual Deductible
977
Drugs Covered
0
States Served
Top Covered Drugs
Most popular medications covered by this plan, ordered by national search frequency. Click any drug to see exact copay, restrictions, and alternatives.
| # | Drug Name | Type | Tier | 30-Day Copay | |
|---|---|---|---|---|---|
| 1 | JANUVIA sitagliptin | Brand | Tier 3 | $45.00 | Details |
| 2 | Amoxicillin | Brand | Tier 1 | $3.00 | Details |
| 3 | Fluphenazine Hydrochloride | Brand | Tier 4 | 0.4% coinsurance | Details |
| 4 | Potassium Chloride | Brand | Tier 2 | $6.00 | Details |
| 5 | Vigabatrin | Brand | Tier 5 | 0.3% coinsurance | Details |
| 6 | Buspirone Hydrochloride | Brand | Tier 2 | $6.00 | Details |
| 7 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 3 | $45.00 | Details |
| 8 | Perphenazine perphenazine | Brand | Tier 4 | 0.4% coinsurance | Details |
| 9 | Doxepin Hydrochloride doxepin hydrochloride | Brand | Tier 3 | $45.00 | Details |
| 10 | Vizimpro dacomitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 11 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $6.00 | Details |
| 12 | Venclexta Venetoclax | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Dicyclomine Hydrochloride | Brand | Tier 2 | $6.00 | Details |
| 14 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 3 | $45.00 | Details |
| 15 | TABRECTA capmatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 16 | Verzenio abemaciclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Venlafaxine Hydrochloride | Brand | Tier 2 | $6.00 | Details |
| 18 | Verzenio abemaciclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Vizimpro dacomitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Loxapine | Brand | Tier 3 | $45.00 | Details |
Showing 20 of 977 covered drugs.
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