Longevity Health Plan (PPO I-SNP)
$40.00 /month
Monthly Premium
$615.00
Annual Deductible
968
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 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 2 | Heparin Sodium | Brand | Tier 1 | $0.00 | Details |
| 3 | TRUQAP capivasertib | Brand | Tier 1 | $0.00 | Details |
| 4 | Dupixent Dupilumab | Brand | Tier 1 | $0.00 | Details |
| 5 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 1 | $0.00 | Details |
| 6 | Potassium Chloride potassium chloride | Brand | Tier 1 | $0.00 | Details |
| 7 | Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 1 | $0.00 | Details |
| 8 | Amoxicillin and Clavulanate Potassium | Brand | Tier 1 | $0.00 | Details |
| 9 | Metoclopramide | Brand | Tier 1 | $0.00 | Details |
| 10 | Rufinamide | Brand | Tier 1 | $0.00 | Details |
| 11 | Ibrance palbociclib | Brand | Tier 1 | $0.00 | Details |
| 12 | BOSULIF Bosutinib | Brand | Tier 1 | $0.00 | Details |
| 13 | NOVOLOG insulin aspart | Brand | Tier 1 | $0.00 | Details |
| 14 | Isosorbide Dinitrate | Brand | Tier 1 | $0.00 | Details |
| 15 | CRESEMBA isavuconazonium sulfate | Brand | Tier 1 | $0.00 | Details |
| 16 | PIQRAY alpelisib | Brand | Tier 1 | $0.00 | Details |
| 17 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 1 | $0.00 | Details |
| 18 | JAYPIRCA pirtobrutinib | Brand | Tier 1 | $0.00 | Details |
| 19 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 1 | $0.00 | Details |
| 20 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 968 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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