Mount Carmel MediGold Plus (HMO)
$14.00 /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 | Xtandi enzalutamide | Brand | Tier 5 | $0.00 | Details |
| 2 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 3 | Dextrose and Sodium Chloride | Brand | Tier 3 | $0.00 | Details |
| 4 | Ofev nintedanib | Brand | Tier 5 | $0.00 | Details |
| 5 | Prochlorperazine | Brand | Tier 4 | $0.00 | Details |
| 6 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 7 | TRETINOIN tretinoin | Brand | Tier 4 | $0.00 | Details |
| 8 | Chlorhexidine Gluconate | Brand | Tier 1 | $0.00 | Details |
| 9 | ELIQUIS apixaban | Brand | Tier 3 | $0.00 | Details |
| 10 | FENTANYL | Brand | Tier 4 | $0.00 | Details |
| 11 | COARTEM artemether and lumefantrine | Brand | Tier 4 | $0.00 | Details |
| 12 | Pioglitazone | Brand | Tier 1 | $0.00 | Details |
| 13 | Lorbrena lorlatinib | Brand | Tier 5 | $0.00 | Details |
| 14 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
| 15 | Amoxicillin and Clavulanate Potassium | Brand | Tier 3 | $0.00 | Details |
| 16 | Depo-SubQ Provera medroxyprogesterone acetate | Brand | Tier 3 | $0.00 | Details |
| 17 | Estradiol | Brand | Tier 2 | $0.00 | Details |
| 18 | Mefloquine Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 19 | Imatinib Mesylate | Brand | Tier 5 | $0.00 | Details |
| 20 | RETEVMO selpercatinib | Brand | Tier 5 | $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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