Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)
$71.40 /month
Monthly Premium
$225.00
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 | Clozapine | Brand | Tier 4 | $0.00 | Details |
| 2 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 3 | TRUQAP capivasertib | Brand | Tier 5 | $0.00 | Details |
| 4 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 5 | JAYPIRCA pirtobrutinib | Brand | Tier 5 | $0.00 | Details |
| 6 | Dicloxacillin Sodium | Brand | Tier 2 | $0.00 | Details |
| 7 | Mekinist trametinib | Brand | Tier 5 | $0.00 | Details |
| 8 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 3 | $0.00 | Details |
| 9 | ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban | Brand | Tier 3 | $0.00 | Details |
| 10 | Clozapine | Brand | Tier 4 | $0.00 | Details |
| 11 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 12 | Venclexta Venetoclax | Brand | Tier 5 | $0.00 | Details |
| 13 | Nystatin | Brand | Tier 2 | $0.00 | Details |
| 14 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 15 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 3 | $0.00 | Details |
| 16 | Dupixent Dupilumab | Brand | Tier 5 | $0.00 | Details |
| 17 | Gilotrif afatinib | Brand | Tier 5 | $0.00 | Details |
| 18 | Pilocarpine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 19 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
| 20 | Warfarin Sodium | Brand | Tier 1 | $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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