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 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 2 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $0.00 | Details |
| 3 | Jardiance Empagliflozin | Brand | Tier 3 | $0.00 | Details |
| 4 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 5 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 6 | INLYTA axitinib | Brand | Tier 5 | $0.00 | Details |
| 7 | Hydrocortisone | Brand | Tier 2 | $0.00 | Details |
| 8 | Methotrexate | Brand | Tier 2 | $0.00 | Details |
| 9 | Pilocarpine Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 10 | CRESEMBA isavuconazonium sulfate | Brand | Tier 5 | $0.00 | Details |
| 11 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 12 | Sodium Chloride | Brand | Tier 6 | $0.00 | Details |
| 13 | Prochlorperazine | Brand | Tier 3 | $0.00 | Details |
| 14 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 4 | $0.00 | Details |
| 15 | TESTOSTERONE ENANTHATE | Brand | Tier 3 | $0.00 | Details |
| 16 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 17 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 18 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 19 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 6 | $0.00 | Details |
| 20 | PREVYMIS LETERMOVIR | Brand | Tier 5 | $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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