HealthSpring Extra Rx (PDP)
$60.60 /month
Monthly Premium
$615.00
Annual Deductible
939
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 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | 0.3% coinsurance | Details |
| 2 | Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 4 | 0.3% coinsurance | Details |
| 3 | Baclofen baclofen | Brand | Tier 2 | $5.00 | Details |
| 4 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 5 | Diazepam | Brand | Tier 2 | $5.00 | Details |
| 6 | Linzess linaclotide | Brand | Tier 4 | 0.3% coinsurance | Details |
| 7 | SCEMBLIX asciminib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 8 | Loxapine | Brand | Tier 3 | 0.2% coinsurance | Details |
| 9 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 10 | ISENTRESS RALTEGRAVIR | Brand | Tier 4 | 0.3% coinsurance | Details |
| 11 | Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Nefazodone Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 13 | Doxepin Hydrochloride doxepin hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 14 | Venclexta Venetoclax | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Sodium Chloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 16 | GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant | Brand | Tier 4 | 0.3% coinsurance | Details |
| 17 | Aptivus tipranavir | Brand | Tier 5 | 0.3% coinsurance | Details |
| 18 | Hydrochlorothiazide | Brand | Tier 1 | $0.00 | Details |
| 19 | Mekinist trametinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Calcipotriene | Brand | Tier 3 | 0.2% coinsurance | Details |
Showing 20 of 939 covered drugs.
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