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 | CRESEMBA isavuconazonium sulfate | Brand | Tier 5 | $0.00 | Details |
| 2 | Gentamicin Sulfate | Brand | Tier 3 | $0.00 | Details |
| 3 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 4 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 5 | Prograf Tacrolimus | Brand | Tier 4 | $0.00 | Details |
| 6 | Prochlorperazine | Brand | Tier 4 | $0.00 | Details |
| 7 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 8 | SCEMBLIX asciminib | Brand | Tier 5 | $0.00 | Details |
| 9 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 10 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | $0.00 | Details |
| 11 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
| 12 | Dexamethasone | Brand | Tier 3 | $0.00 | Details |
| 13 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
| 14 | Spiriva Respimat tiotropium bromide inhalation spray | Brand | Tier 4 | $0.00 | Details |
| 15 | Potassium Chloride potassium chloride | Brand | Tier 2 | $0.00 | Details |
| 16 | Kaletra Lopinavir and Ritonavir | Brand | Tier 4 | $0.00 | Details |
| 17 | Xospata gilteritinib | Brand | Tier 5 | $0.00 | Details |
| 18 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 19 | EVOTAZ atazanavir and cobicistat | Brand | Tier 5 | $0.00 | Details |
| 20 | Venclexta Venetoclax | Brand | Tier 5 | $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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