Blue Shield Rx Plus (PDP)
$199.70 /month
Monthly Premium
$615.00
Annual Deductible
899
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 | Ipratropium Bromide | Brand | Tier 2 | $7.00 | Details |
| 2 | POSACONAZOLE Posaconazole | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | Venlafaxine Hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 4 | Potassium Chloride | Brand | Tier 2 | $7.00 | Details |
| 5 | BOSULIF Bosutinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 6 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 7 | Tacrolimus | Brand | Tier 3 | 0.2% coinsurance | Details |
| 8 | ZEJULA niraparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 9 | RotaTeq Rotavirus Vaccine, Live, Oral, Pentavalent | Brand | Tier 3 | 0.2% coinsurance | Details |
| 10 | Gilotrif afatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 11 | Leucovorin Calcium | Brand | Tier 4 | 0.5% coinsurance | Details |
| 12 | Nortriptyline Hydrochloride | Brand | Tier 4 | 0.5% coinsurance | Details |
| 13 | PIQRAY alpelisib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Fluphenazine Hydrochloride | Brand | Tier 4 | 0.5% coinsurance | Details |
| 15 | Imatinib Mesylate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 16 | SOMAVERT pegvisomant | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Talzenna talazoparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 18 | Augtyro repotrectinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Danazol | Brand | Tier 4 | 0.5% coinsurance | Details |
| 20 | JANUVIA sitagliptin | Brand | Tier 3 | 0.2% coinsurance | Details |
Showing 20 of 899 covered drugs.
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