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Verified against CMS.gov · on April 2026 Plan ID: S5617-355 Cross-check on Medicare.gov →

HealthSpring Extra Rx (PDP)

Plan Year 2026
$66.60 /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 Doxepin Hydrochloride doxepin hydrochloride Brand Tier 4 0.3% coinsurance Details
2 Venclexta Venetoclax Brand Tier 5 0.3% coinsurance Details
3 Sodium Chloride Brand Tier 4 0.3% coinsurance Details
4 GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant Brand Tier 4 0.3% coinsurance Details
5 Aptivus tipranavir Brand Tier 5 0.3% coinsurance Details
6 Hydrochlorothiazide Brand Tier 1 $0.00 Details
7 Mekinist trametinib Brand Tier 5 0.3% coinsurance Details
8 Calcipotriene Brand Tier 3 0.2% coinsurance Details
9 Baclofen Brand Tier 2 $5.00 Details
10 Fluvoxamine maleate Brand Tier 3 0.2% coinsurance Details
11 Verzenio abemaciclib Brand Tier 5 0.3% coinsurance Details
12 Diltiazem Hydrochloride Brand Tier 2 $5.00 Details
13 Tacrolimus Brand Tier 4 0.3% coinsurance Details
14 amiloride hydrochloride Brand Tier 2 $5.00 Details
15 Xtandi enzalutamide Brand Tier 5 0.3% coinsurance Details
16 WINREVAIR SOTATERCEPT-CSRK Brand Tier 5 0.3% coinsurance Details
17 KISQALI ribociclib Brand Tier 5 0.3% coinsurance Details
18 Mercaptopurine Brand Tier 3 0.2% coinsurance Details
19 Enoxaparin Sodium Enoxaparin sodium Brand Tier 4 0.3% coinsurance Details
20 Carbidopa and levodopa Brand Tier 2 $5.00 Details

Showing 20 of 939 covered drugs.

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