Regence MedAdvantage + Rx Classic (PPO)
$28.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$500.00
Annual Deductible
1,023
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 | Clozapine | Brand | Tier 4 | 0.4% coinsurance | Details |
| 2 | Vizimpro dacomitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | Prograf Tacrolimus | Brand | Tier 4 | 0.4% coinsurance | Details |
| 4 | Trifluoperazine Hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 5 | Phenobarbital | Brand | Tier 3 | 0.2% coinsurance | Details |
| 6 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 7 | Cilostazol | Brand | Tier 2 | $5.00 | Details |
| 8 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 9 | Nitroglycerin nitroglycerin | Brand | Tier 2 | $5.00 | Details |
| 10 | Amoxicillin and Clavulanate Potassium | Brand | Tier 2 | $5.00 | Details |
| 11 | Nicotrol nicotine | Brand | Tier 4 | 0.4% coinsurance | Details |
| 12 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 13 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 2 | $5.00 | Details |
| 14 | Diltiazem Hydrochloride | Brand | Tier 2 | $5.00 | Details |
| 15 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 3 | 0.2% coinsurance | Details |
| 16 | PODOFILOX | Brand | Tier 3 | 0.2% coinsurance | Details |
| 17 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 4 | 0.4% coinsurance | Details |
| 18 | Fosamprenavir Calcium fosamprenavir calcium | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 20 | Dicloxacillin Sodium | Brand | Tier 3 | 0.2% coinsurance | Details |
Showing 20 of 1,023 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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