Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)
$83.30 /month
Monthly Premium
$200.00
Annual Deductible
990
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 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 2 | Venclexta Venetoclax | Brand | Tier 5 | $0.00 | Details |
| 3 | Nystatin | Brand | Tier 2 | $0.00 | Details |
| 4 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 5 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 3 | $0.00 | Details |
| 6 | Dupixent Dupilumab | Brand | Tier 5 | $0.00 | Details |
| 7 | Gilotrif afatinib | Brand | Tier 5 | $0.00 | Details |
| 8 | Pilocarpine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 9 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
| 10 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 11 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 12 | Talzenna talazoparib | Brand | Tier 5 | $0.00 | Details |
| 13 | Nitroglycerin nitroglycerin | Brand | Tier 2 | $0.00 | Details |
| 14 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 1 | $0.00 | Details |
| 15 | Aptivus tipranavir | Brand | Tier 5 | $0.00 | Details |
| 16 | Isosorbide Dinitrate | Brand | Tier 2 | $0.00 | Details |
| 17 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | $0.00 | Details |
| 18 | Pioglitazone | Brand | Tier 6 | $0.00 | Details |
| 19 | NOVOLOG insulin aspart | Brand | Tier 3 | $0.00 | Details |
| 20 | Methotrexate | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 990 covered drugs.
States Served (2)
This plan is available to Medicare beneficiaries in the following states.
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