MedMutual Advantage Preferred (PPO)
$73.00 /month
Monthly Premium
$55.00
Annual Deductible
915
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 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 6 | $0.00 | Details |
| 2 | Hydrocortisone | Brand | Tier 2 | $5.00 | Details |
| 3 | Amoxapine | Brand | Tier 3 | 0.2% coinsurance | Details |
| 4 | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | Brand | Tier 3 | 0.2% coinsurance | Details |
| 5 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 3 | 0.2% coinsurance | Details |
| 6 | Nefazodone Hydrochloride | Brand | Tier 4 | 0.4% coinsurance | Details |
| 7 | Probenecid | Brand | Tier 3 | 0.2% coinsurance | Details |
| 8 | PredniSONE | Brand | Tier 2 | $5.00 | Details |
| 9 | Clozapine | Brand | Tier 4 | 0.4% coinsurance | Details |
| 10 | Xospata gilteritinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 11 | TRETINOIN tretinoin | Brand | Tier 4 | 0.4% coinsurance | Details |
| 12 | Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 4 | 0.4% coinsurance | Details |
| 13 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 6 | $0.00 | Details |
| 14 | Cabergoline | Brand | Tier 3 | 0.2% coinsurance | Details |
| 15 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | 0.4% coinsurance | Details |
| 16 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 17 | Pioglitazone | Brand | Tier 6 | $0.00 | Details |
| 18 | Fluvoxamine maleate | Brand | Tier 3 | 0.2% coinsurance | Details |
| 19 | Heparin Sodium | Brand | Tier 3 | 0.2% coinsurance | Details |
| 20 | Fluphenazine Hydrochloride | Brand | Tier 4 | 0.4% coinsurance | Details |
Showing 20 of 915 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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