Medica Advantage Value (PPO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
981
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 | Dexamethasone | Brand | Tier 2 | $0.00 | Details |
| 2 | Doxepin Hydrochloride doxepin hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 3 | ZEJULA niraparib | Brand | Tier 5 | $0.00 | Details |
| 4 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $0.00 | Details |
| 5 | Estradiol | Brand | Tier 4 | $0.00 | Details |
| 6 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 2 | $0.00 | Details |
| 7 | Fluphenazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 8 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 9 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 10 | Cromolyn Sodium | Brand | Tier 3 | $0.00 | Details |
| 11 | Risperidone | Brand | Tier 3 | $0.00 | Details |
| 12 | Clarithromycin | Brand | Tier 2 | $0.00 | Details |
| 13 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 14 | BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN | Brand | Tier 1 | $0.00 | Details |
| 15 | Vizimpro dacomitinib | Brand | Tier 5 | $0.00 | Details |
| 16 | Pilocarpine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 17 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 18 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 19 | NITROGLYCERIN nitroglycerin | Brand | Tier 3 | $0.00 | Details |
| 20 | Aptivus tipranavir | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 981 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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