Mass Advantage Extra (PPO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$200.00
Annual Deductible
829
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 | NOVOLOG insulin aspart | Brand | Tier 3 | $0.00 | Details |
| 2 | Primaquine Phosphate | Brand | Tier 4 | $0.00 | Details |
| 3 | Lenalidomide | Brand | Tier 5 | $0.00 | Details |
| 4 | Loxapine | Brand | Tier 3 | $0.00 | Details |
| 5 | Nefazodone Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 6 | Ciprofloxacin in Dextrose ciprofloxacin | Brand | Tier 4 | $0.00 | Details |
| 7 | Chlorhexidine Gluconate | Brand | Tier 2 | $0.00 | Details |
| 8 | Imatinib Mesylate | Brand | Tier 5 | $0.00 | Details |
| 9 | ZEJULA niraparib | Brand | Tier 5 | $0.00 | Details |
| 10 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | $0.00 | Details |
| 11 | GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant | Brand | Tier 1 | $0.00 | Details |
| 12 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 13 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 14 | Verzenio abemaciclib | Brand | Tier 5 | $0.00 | Details |
| 15 | Nitroglycerin nitroglycerin | Brand | Tier 3 | $0.00 | Details |
| 16 | Kaletra Lopinavir and Ritonavir | Brand | Tier 5 | $0.00 | Details |
| 17 | Venclexta Venetoclax | Brand | Tier 5 | $0.00 | Details |
| 18 | Buprenorphine | Brand | Tier 3 | $0.00 | Details |
| 19 | Talzenna talazoparib | Brand | Tier 5 | $0.00 | Details |
| 20 | Risperidone | Brand | Tier 4 | $0.00 | Details |
Showing 20 of 829 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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