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Verified against CMS.gov · on April 2026 Plan ID: H3817-009 Cross-check on Medicare.gov →

Regence MedAdvantage + Rx Enhanced (PPO)

Plan Year 2026
$62.50 /month
Monthly Premium
$200.00 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 VAQTA hepatitis A vaccine, inactivated Brand Tier 3 0.2% coinsurance Details
2 Nitroglycerin nitroglycerin Brand Tier 2 $3.00 Details
3 Ipratropium Bromide Brand Tier 2 $3.00 Details
4 Ciprofloxacin Brand Tier 1 $0.00 Details
5 Lenalidomide Brand Tier 5 0.3% coinsurance Details
6 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
7 Clozapine Brand Tier 4 0.4% coinsurance Details
8 Diazepam Intensol Brand Tier 2 $3.00 Details
9 Haloperidol Brand Tier 2 $3.00 Details
10 Cobenfy xanomeline and trospium chloride Brand Tier 5 0.3% coinsurance Details
11 Amoxapine Brand Tier 3 0.2% coinsurance Details
12 Venlafaxine Hydrochloride Brand Tier 2 $3.00 Details
13 Clonidine Hydrochloride Brand Tier 1 $0.00 Details
14 Everolimus Brand Tier 4 0.4% coinsurance Details
15 Clozapine Brand Tier 4 0.4% coinsurance Details
16 Amoxicillin Brand Tier 1 $0.00 Details
17 Leucovorin Calcium Brand Tier 3 0.2% coinsurance Details
18 Vizimpro dacomitinib Brand Tier 5 0.3% coinsurance Details
19 Jardiance Empagliflozin Brand Tier 3 0.2% coinsurance Details
20 Haloperidol Brand Tier 2 $3.00 Details

Showing 20 of 1,023 covered drugs.

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States Served (1)

This plan is available to Medicare beneficiaries in the following states.

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