HealthSpring Extra Rx (PDP)
$71.20 /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.
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