Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
$67.00 /month
Monthly Premium
$0.00
Annual Deductible
1,010
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 | ELIQUIS apixaban | Brand | Tier 3 | $0.00 | Details |
| 2 | Tacrolimus | Brand | Tier 4 | $0.00 | Details |
| 3 | ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live | Brand | Tier 6 | $0.00 | Details |
| 4 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 5 | Gilotrif afatinib | Brand | Tier 5 | $0.00 | Details |
| 6 | Trumenba meningococcal group B vaccine | Brand | Tier 6 | $0.00 | Details |
| 7 | Ipratropium Bromide | Brand | Tier 2 | $0.00 | Details |
| 8 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 9 | Jardiance Empagliflozin | Brand | Tier 3 | $0.00 | Details |
| 10 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 11 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 12 | Mekinist trametinib | Brand | Tier 5 | $0.00 | Details |
| 13 | Nitroglycerin nitroglycerin | Brand | Tier 3 | $0.00 | Details |
| 14 | Nortriptyline Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 15 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 16 | Ciprofloxacin | Brand | Tier 1 | $0.00 | Details |
| 17 | KOSELUGO SELUMETINIB | Brand | Tier 5 | $0.00 | Details |
| 18 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 19 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 20 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 1,010 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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