Fallon Medicare Plus Green (HMO)
$56.40 /month
Monthly Premium
$300.00
Annual Deductible
1,039
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 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 2 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
| 3 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 4 | Amoxapine | Brand | Tier 3 | $0.00 | Details |
| 5 | Methylphenidate Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 6 | Mekinist trametinib | Brand | Tier 5 | $0.00 | Details |
| 7 | Bupropion Hydrochloride SR SR bupropion hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 8 | Chlorhexidine Gluconate | Brand | Tier 1 | $0.00 | Details |
| 9 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 10 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $0.00 | Details |
| 11 | Jardiance Empagliflozin | Brand | Tier 3 | $0.00 | Details |
| 12 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 13 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 14 | INLYTA axitinib | Brand | Tier 5 | $0.00 | Details |
| 15 | Hydrocortisone | Brand | Tier 2 | $0.00 | Details |
| 16 | Methotrexate | Brand | Tier 2 | $0.00 | Details |
| 17 | Pilocarpine Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 18 | CRESEMBA isavuconazonium sulfate | Brand | Tier 5 | $0.00 | Details |
| 19 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 20 | Sodium Chloride | Brand | Tier 6 | $0.00 | Details |
Showing 20 of 1,039 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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