Mount Carmel MediGold Plus (HMO)
$23.30 /month
Monthly Premium
Among the lowest-premium plans in 2026
$100.00
Annual Deductible
994
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 | Venlafaxine Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 2 | Acamprosate Calcium acamprosate calcium enteric-coated | Brand | Tier 4 | $0.00 | Details |
| 3 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 4 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 5 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 6 | Methotrexate | Brand | Tier 2 | $0.00 | Details |
| 7 | Dexamethasone | Brand | Tier 3 | $0.00 | Details |
| 8 | PIQRAY alpelisib | Brand | Tier 5 | $0.00 | Details |
| 9 | Potassium Chloride | Brand | Tier 2 | $0.00 | Details |
| 10 | Bromocriptine mesylate | Brand | Tier 4 | $0.00 | Details |
| 11 | Verzenio abemaciclib | Brand | Tier 5 | $0.00 | Details |
| 12 | Nefazodone Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 13 | Mekinist trametinib | Brand | Tier 5 | $0.00 | Details |
| 14 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 15 | Talzenna talazoparib | Brand | Tier 5 | $0.00 | Details |
| 16 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 17 | ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban | Brand | Tier 3 | $0.00 | Details |
| 18 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 19 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 20 | Ciprofloxacin | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 994 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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