Mass General Brigham Advantage Premier (PPO)
$79.70 /month
Monthly Premium
$350.00
Annual Deductible
1,154
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 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 2 | Lenalidomide | Brand | Tier 5 | $0.00 | Details |
| 3 | TABRECTA capmatinib | Brand | Tier 5 | $0.00 | Details |
| 4 | Dicloxacillin Sodium | Brand | Tier 3 | $0.00 | Details |
| 5 | Abrysvo Respiratory Syncytial Virus Vaccine | Brand | Tier 3 | $0.00 | Details |
| 6 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 3 | $0.00 | Details |
| 7 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 8 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 9 | GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant | Brand | Tier 3 | $0.00 | Details |
| 10 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 11 | HERNEXEOS zongertinib | Brand | Tier 5 | $0.00 | Details |
| 12 | SOMAVERT pegvisomant | Brand | Tier 5 | $0.00 | Details |
| 13 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 14 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 3 | $0.00 | Details |
| 15 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 16 | Pilocarpine Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 17 | Mifepristone | Brand | Tier 5 | $0.00 | Details |
| 18 | Imatinib Mesylate | Brand | Tier 4 | $0.00 | Details |
| 19 | Fluphenazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 20 | JAYPIRCA pirtobrutinib | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 1,154 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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