Perennial Advantage Strive (HMO I-SNP)
$32.70 /month
Monthly Premium
$615.00
Annual Deductible
975
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 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 2 | Linzess linaclotide | Brand | Tier 1 | $0.00 | Details |
| 3 | Diltiazem Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 4 | CALQUENCE acalabrutinib | Brand | Tier 1 | $0.00 | Details |
| 5 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 1 | $0.00 | Details |
| 6 | PODOFILOX | Brand | Tier 1 | $0.00 | Details |
| 7 | Trifluoperazine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 8 | Ofev nintedanib | Brand | Tier 1 | $0.00 | Details |
| 9 | Bromocriptine mesylate | Brand | Tier 1 | $0.00 | Details |
| 10 | Augtyro repotrectinib | Brand | Tier 1 | $0.00 | Details |
| 11 | Bupropion Hydrochloride SR SR bupropion hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 12 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
| 13 | Venlafaxine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 14 | Cabergoline | Brand | Tier 1 | $0.00 | Details |
| 15 | Nefazodone Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 16 | Fluvoxamine maleate | Brand | Tier 1 | $0.00 | Details |
| 17 | Ibrance palbociclib | Brand | Tier 1 | $0.00 | Details |
| 18 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 1 | $0.00 | Details |
| 19 | Depo-SubQ Provera medroxyprogesterone acetate | Brand | Tier 1 | $0.00 | Details |
| 20 | Haloperidol | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 975 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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