Independent Health's Medicare Passport Connect (PPO)
$58.80 /month
Monthly Premium
$615.00
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 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 2 | Talzenna talazoparib | Brand | Tier 5 | $0.00 | Details |
| 3 | ISENTRESS RALTEGRAVIR | Brand | Tier 3 | $0.00 | Details |
| 4 | Rufinamide | Brand | Tier 4 | $0.00 | Details |
| 5 | Clarithromycin | Brand | Tier 2 | $0.00 | Details |
| 6 | Vizimpro dacomitinib | Brand | Tier 5 | $0.00 | Details |
| 7 | Lenalidomide | Brand | Tier 5 | $0.00 | Details |
| 8 | Pilocarpine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 9 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
| 10 | ENTRESTO Sacubitril and Valsartan | Brand | Tier 3 | $0.00 | Details |
| 11 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 12 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 13 | Ampicillin and Sulbactam | Brand | Tier 2 | $0.00 | Details |
| 14 | BOSULIF Bosutinib | Brand | Tier 5 | $0.00 | Details |
| 15 | Gentamicin Sulfate | Brand | Tier 2 | $0.00 | Details |
| 16 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 2 | $0.00 | Details |
| 17 | Hydrochlorothiazide | Brand | Tier 1 | $0.00 | Details |
| 18 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
| 19 | JANUVIA sitagliptin | Brand | Tier 3 | $0.00 | Details |
| 20 | Ampicillin | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 996 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
🆘 Annual Enrollment Period — Act Now
Find Your Best Medicare Plan for 2026
Compare plans side-by-side with the help of a licensed Medicare specialist. Free service — no obligation.
Compare Medicare Plans Free- ✓ Compare all plans in your area
- ✓ Licensed agents available 7 days a week
- ✓ No cost, no obligation
We may receive a referral fee if you enroll through this link. DrugCovered is not affiliated with Medicare or any government agency. Plan availability and costs vary by ZIP code. Not all plans may be available in your area.