Healthfirst Signature (PPO)
$55.00 /month
Monthly Premium
$615.00
Annual Deductible
948
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 | Tafinlar dabrafenib | Brand | Tier 5 | $0.00 | Details |
| 2 | KOSELUGO SELUMETINIB | Brand | Tier 5 | $0.00 | Details |
| 3 | Gilotrif afatinib | Brand | Tier 5 | $0.00 | Details |
| 4 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 5 | Potassium Chloride | Brand | Tier 2 | $0.00 | Details |
| 6 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 7 | Pioglitazone | Brand | Tier 6 | $0.00 | Details |
| 8 | Combivent Respimat ipratropium bromide and albuterol | Brand | Tier 4 | $0.00 | Details |
| 9 | Xtandi enzalutamide | Brand | Tier 5 | $0.00 | Details |
| 10 | Fiasp insulin aspart injection | Brand | Tier 3 | $0.00 | Details |
| 11 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 2 | $0.00 | Details |
| 12 | Atomoxetine | Brand | Tier 4 | $0.00 | Details |
| 13 | SOMAVERT pegvisomant | Brand | Tier 5 | $0.00 | Details |
| 14 | Venlafaxine Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 15 | Baclofen baclofen | Brand | Tier 2 | $0.00 | Details |
| 16 | Acamprosate Calcium acamprosate calcium enteric-coated | Brand | Tier 4 | $0.00 | Details |
| 17 | LACTULOSE Lactulose | Brand | Tier 2 | $0.00 | Details |
| 18 | Omeprazole | Brand | Tier 1 | $0.00 | Details |
| 19 | Risperidone | Brand | Tier 5 | $0.00 | Details |
| 20 | VALPROIC ACID | Brand | Tier 3 | $0.00 | Details |
Showing 20 of 948 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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