Essence Advantage Plus (HMO)
$54.00 /month
Monthly Premium
$0.00
Annual Deductible
968
Drugs Covered
2
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 | SCEMBLIX asciminib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 2 | Fluphenazine Hydrochloride | Brand | Tier 4 | $95.00 | Details |
| 3 | Ofev nintedanib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Ciprofloxacin in Dextrose ciprofloxacin | Brand | Tier 4 | $95.00 | Details |
| 5 | Ofev nintedanib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 6 | Nicotrol nicotine | Brand | Tier 4 | $95.00 | Details |
| 7 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 8 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 9 | Gilotrif afatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Phenobarbital | Brand | Tier 3 | $45.00 | Details |
| 11 | Leucovorin Calcium | Brand | Tier 3 | $45.00 | Details |
| 12 | ZEJULA niraparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Estradiol | Brand | Tier 4 | $95.00 | Details |
| 14 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 15 | Medroxyprogesterone Acetate | Brand | Tier 2 | $3.00 | Details |
| 16 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 17 | Hydrochlorothiazide | Brand | Tier 1 | $0.00 | Details |
| 18 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 2 | $3.00 | Details |
| 19 | INLYTA axitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate | Brand | Tier 5 | 0.3% coinsurance | Details |
Showing 20 of 968 covered drugs.
States Served (2)
This plan is available to Medicare beneficiaries in the following states.
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