HealthSpring Assurance Rx (PDP)
$111.40 /month
Monthly Premium
$615.00
Annual Deductible
919
Drugs Covered
0
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 | ENTRESTO Sacubitril and Valsartan | Brand | Tier 3 | 0.2% coinsurance | Details |
| 2 | Jardiance Empagliflozin | Brand | Tier 3 | 0.2% coinsurance | Details |
| 3 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 4 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 3 | 0.2% coinsurance | Details |
| 5 | Ceftriaxone Sodium | Brand | Tier 4 | 0.3% coinsurance | Details |
| 6 | Tacrolimus | Brand | Tier 4 | 0.3% coinsurance | Details |
| 7 | KOSELUGO SELUMETINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 8 | Diazepam | Brand | Tier 2 | $2.00 | Details |
| 9 | Risperidone | Brand | Tier 4 | 0.3% coinsurance | Details |
| 10 | ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban | Brand | Tier 3 | 0.2% coinsurance | Details |
| 11 | Gilotrif afatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 13 | Chlorpromazine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 14 | Ciprofloxacin | Brand | Tier 2 | $2.00 | Details |
| 15 | Estradiol | Brand | Tier 2 | $2.00 | Details |
| 16 | Dicyclomine Dicyclomine hydrochloride | Brand | Tier 2 | $2.00 | Details |
| 17 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 3 | 0.2% coinsurance | Details |
| 18 | Carbidopa and levodopa | Brand | Tier 2 | $2.00 | Details |
| 19 | INLYTA axitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Everolimus | Brand | Tier 5 | 0.3% coinsurance | Details |
Showing 20 of 919 covered drugs.
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