Elderplan Extra Help (HMO-POS)
$58.80 /month
Monthly Premium
$375.00
Annual Deductible
979
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 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 2 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 3 | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | Brand | Tier 3 | $0.00 | Details |
| 4 | Midodrine Hydrochloride midodrine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 5 | Aptivus tipranavir | Brand | Tier 5 | $0.00 | Details |
| 6 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 7 | Amoxapine | Brand | Tier 3 | $0.00 | Details |
| 8 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
| 9 | Isosorbide Dinitrate | Brand | Tier 3 | $0.00 | Details |
| 10 | Everolimus | Brand | Tier 5 | $0.00 | Details |
| 11 | Linzess linaclotide | Brand | Tier 3 | $0.00 | Details |
| 12 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 13 | Dupixent Dupilumab | Brand | Tier 5 | $0.00 | Details |
| 14 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | $0.00 | Details |
| 15 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 16 | Haloperidol | Brand | Tier 3 | $0.00 | Details |
| 17 | INLYTA axitinib | Brand | Tier 5 | $0.00 | Details |
| 18 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 19 | SOMAVERT pegvisomant | Brand | Tier 5 | $0.00 | Details |
| 20 | ELIQUIS apixaban | Brand | Tier 3 | $0.00 | Details |
Showing 20 of 979 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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