Independent Health's Encompass 65 RED 042 (HMO)
$40.00 /month
Monthly Premium
$250.00
Annual Deductible
996
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 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 2 | Ciprofloxacin | Brand | Tier 2 | $0.00 | Details |
| 3 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 4 | KISQALI ribociclib | Brand | Tier 5 | $0.00 | Details |
| 5 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 6 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 3 | $0.00 | Details |
| 7 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 8 | Talzenna talazoparib | Brand | Tier 5 | $0.00 | Details |
| 9 | ISENTRESS RALTEGRAVIR | Brand | Tier 3 | $0.00 | Details |
| 10 | Rufinamide | Brand | Tier 4 | $0.00 | Details |
| 11 | Clarithromycin | Brand | Tier 2 | $0.00 | Details |
| 12 | Vizimpro dacomitinib | Brand | Tier 5 | $0.00 | Details |
| 13 | Lenalidomide | Brand | Tier 5 | $0.00 | Details |
| 14 | Pilocarpine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 15 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
| 16 | ENTRESTO Sacubitril and Valsartan | Brand | Tier 3 | $0.00 | Details |
| 17 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 18 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 19 | Ampicillin and Sulbactam | Brand | Tier 2 | $0.00 | Details |
| 20 | BOSULIF Bosutinib | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 996 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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