HealthTeam Advantage Vitality Plan (PPO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$300.00
Annual Deductible
1,003
Drugs Covered
1
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 | Leucovorin Calcium | Brand | Tier 3 | 0.2% coinsurance | Details |
| 2 | Erlotinib | Brand | Tier 4 | 0.4% coinsurance | Details |
| 3 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
| 4 | Doxepin Hydrochloride doxepin hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 5 | Ciprofloxacin | Brand | Tier 1 | $0.00 | Details |
| 6 | VALPROIC ACID | Brand | Tier 2 | $3.00 | Details |
| 7 | Chlorpromazine Hydrochloride | Brand | Tier 4 | 0.4% coinsurance | Details |
| 8 | Mekinist trametinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 9 | Verzenio abemaciclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Talzenna talazoparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 11 | Digoxin | Brand | Tier 2 | $3.00 | Details |
| 12 | Clarithromycin | Brand | Tier 2 | $3.00 | Details |
| 13 | KOSELUGO SELUMETINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Ipratropium Bromide | Brand | Tier 2 | $3.00 | Details |
| 15 | Gentamicin Sulfate | Brand | Tier 3 | 0.2% coinsurance | Details |
| 16 | Estradiol | Brand | Tier 2 | $3.00 | Details |
| 17 | Nefazodone Hydrochloride | Brand | Tier 4 | 0.4% coinsurance | Details |
| 18 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 19 | Midodrine Hydrochloride midodrine hydrochloride | Brand | Tier 2 | $3.00 | Details |
| 20 | Trelegy Ellipta fluticasone furoate, umeclidinium bromide and vilanterol trifenatate | Brand | Tier 3 | 0.2% coinsurance | Details |
Showing 20 of 1,003 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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