BlueMedicare Premier Rx (PDP)
$181.20 /month
Monthly Premium
$0.00
Annual Deductible
973
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 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 2 | Sulfasalazine | Brand | Tier 2 | $0.00 | Details |
| 3 | Potassium Chloride | Brand | Tier 2 | $0.00 | Details |
| 4 | Ampicillin and Sulbactam | Brand | Tier 4 | $0.00 | Details |
| 5 | amiloride hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 6 | TESTOSTERONE ENANTHATE | Brand | Tier 3 | $0.00 | Details |
| 7 | Ofev nintedanib | Brand | Tier 5 | $0.00 | Details |
| 8 | Mercaptopurine | Brand | Tier 3 | $0.00 | Details |
| 9 | Nicotrol nicotine | Brand | Tier 4 | $0.00 | Details |
| 10 | Leucovorin Calcium | Brand | Tier 3 | $0.00 | Details |
| 11 | Nefazodone Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 12 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 13 | Lorbrena lorlatinib | Brand | Tier 5 | $0.00 | Details |
| 14 | Xtandi enzalutamide | Brand | Tier 5 | $0.00 | Details |
| 15 | VALPROIC ACID | Brand | Tier 3 | $0.00 | Details |
| 16 | Cilostazol | Brand | Tier 2 | $0.00 | Details |
| 17 | Medroxyprogesterone Acetate | Brand | Tier 1 | $0.00 | Details |
| 18 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 19 | Lupron Depot leuprolide acetate | Brand | Tier 5 | $0.00 | Details |
| 20 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 973 covered drugs.
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