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 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 2 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 2 | $0.00 | Details |
| 3 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 4 | Methotrexate | Brand | Tier 2 | $0.00 | Details |
| 5 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 6 | TAGRISSO osimertinib | Brand | Tier 5 | $0.00 | Details |
| 7 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 8 | Amoxicillin | Brand | Tier 2 | $0.00 | Details |
| 9 | Isoniazid | Brand | Tier 2 | $0.00 | Details |
| 10 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 11 | Nefazodone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 12 | Balsalazide Disodium | Brand | Tier 2 | $0.00 | Details |
| 13 | Diazepam | Brand | Tier 2 | $0.00 | Details |
| 14 | Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate | Brand | Tier 5 | $0.00 | Details |
| 15 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 16 | NOVOLOG insulin aspart | Brand | Tier 3 | $0.00 | Details |
| 17 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 18 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 3 | $0.00 | Details |
| 19 | Dextrose and Sodium Chloride | Brand | Tier 2 | $0.00 | Details |
| 20 | Vigabatrin | Brand | Tier 5 | $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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