Independent Health's Encompass 65 RED 043 (HMO)
$190.00 /month
Monthly Premium
$50.00
Annual Deductible
1,095
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 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 2 | Ofev nintedanib | Brand | Tier 5 | $0.00 | Details |
| 3 | Amoxapine | Brand | Tier 4 | $0.00 | Details |
| 4 | REYATAZ ATAZANAVIR | Brand | Tier 5 | $0.00 | Details |
| 5 | SOMAVERT pegvisomant | Brand | Tier 5 | $0.00 | Details |
| 6 | BOSULIF Bosutinib | Brand | Tier 5 | $0.00 | Details |
| 7 | Nortriptyline Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 8 | Norvir Ritonavir | Brand | Tier 4 | $0.00 | Details |
| 9 | Prograf Tacrolimus | Brand | Tier 4 | $0.00 | Details |
| 10 | JANUVIA sitagliptin | Brand | Tier 3 | $0.00 | Details |
| 11 | Jardiance Empagliflozin | Brand | Tier 3 | $0.00 | Details |
| 12 | KISQALI ribociclib | Brand | Tier 5 | $0.00 | Details |
| 13 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 14 | Tacrolimus | Brand | Tier 2 | $0.00 | Details |
| 15 | ISENTRESS RALTEGRAVIR | Brand | Tier 3 | $0.00 | Details |
| 16 | bexarotene | Brand | Tier 5 | $0.00 | Details |
| 17 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 18 | Daurismo glasdegib | Brand | Tier 5 | $0.00 | Details |
| 19 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 20 | Phenobarbital | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 1,095 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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