Clover Health Choice Value (PPO)
$54.00 /month
Monthly Premium
$150.00
Annual Deductible
1,008
Drugs Covered
1
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 | Pioglitazone | Brand | Tier 1 | $0.00 | Details |
| 2 | Risperidone | Brand | Tier 4 | $0.00 | Details |
| 3 | Lorbrena lorlatinib | Brand | Tier 5 | $0.00 | Details |
| 4 | Erlotinib | Brand | Tier 5 | $0.00 | Details |
| 5 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 6 | Acarbose | Brand | Tier 2 | $0.00 | Details |
| 7 | Nitroglycerin nitroglycerin | Brand | Tier 3 | $0.00 | Details |
| 8 | Potassium Chloride | Brand | Tier 2 | $0.00 | Details |
| 9 | ZEJULA niraparib | Brand | Tier 5 | $0.00 | Details |
| 10 | Imatinib Mesylate | Brand | Tier 5 | $0.00 | Details |
| 11 | Methylphenidate Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 12 | Tacrolimus | Brand | Tier 3 | $0.00 | Details |
| 13 | Digoxin | Brand | Tier 2 | $0.00 | Details |
| 14 | Clozapine | Brand | Tier 4 | $0.00 | Details |
| 15 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 16 | Fluphenazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 17 | Calcipotriene | Brand | Tier 3 | $0.00 | Details |
| 18 | Daurismo glasdegib | Brand | Tier 5 | $0.00 | Details |
| 19 | Leucovorin Calcium | Brand | Tier 3 | $0.00 | Details |
| 20 | POSACONAZOLE Posaconazole | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 1,008 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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