HealthSpring Extra Rx (PDP)
$56.30 /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 | Amoxapine | Brand | Tier 3 | 0.2% coinsurance | Details |
| 2 | Lenalidomide | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | Haloperidol | Brand | Tier 2 | $5.00 | Details |
| 4 | Ciprofloxacin | Brand | Tier 2 | $5.00 | Details |
| 5 | NITROGLYCERIN nitroglycerin | Brand | Tier 4 | 0.3% coinsurance | Details |
| 6 | Fluphenazine Hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 7 | Dicloxacillin Sodium | Brand | Tier 3 | 0.2% coinsurance | Details |
| 8 | Rufinamide | Brand | Tier 5 | 0.3% coinsurance | Details |
| 9 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 10 | COARTEM artemether and lumefantrine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 11 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 3 | 0.2% coinsurance | Details |
| 12 | DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 14 | Dexamethasone | Brand | Tier 2 | $5.00 | Details |
| 15 | KOSELUGO SELUMETINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 16 | PODOFILOX | Brand | Tier 4 | 0.3% coinsurance | Details |
| 17 | Kaletra Lopinavir and Ritonavir | Brand | Tier 3 | 0.2% coinsurance | Details |
| 18 | Augtyro repotrectinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Verzenio abemaciclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Dicloxacillin Sodium | Brand | Tier 3 | 0.2% coinsurance | Details |
Showing 20 of 939 covered drugs.
Find Your Best Medicare Plan for 2026
Compare plans side-by-side with the help of a licensed Medicare specialist. Free service — no obligation.
Compare Medicare Plans Free- ✓ Compare all plans in your area
- ✓ Licensed agents available 7 days a week
- ✓ No cost, no obligation
We may receive a referral fee if you enroll through this link. DrugCovered is not affiliated with Medicare or any government agency. Plan availability and costs vary by ZIP code. Not all plans may be available in your area.