Univera SeniorChoice Core (PPO)
$33.00 /month
Monthly Premium
$615.00
Annual Deductible
1,122
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 | Fluphenazine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 2 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 3 | 0.2% coinsurance | Details |
| 3 | Loxapine | Brand | Tier 2 | $15.00 | Details |
| 4 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 3 | 0.2% coinsurance | Details |
| 5 | Diltiazem Hydrochloride | Brand | Tier 2 | $15.00 | Details |
| 6 | bexarotene | Brand | Tier 5 | 0.3% coinsurance | Details |
| 7 | Estradiol | Brand | Tier 2 | $15.00 | Details |
| 8 | NOVOLOG insulin aspart | Brand | Tier 3 | 0.2% coinsurance | Details |
| 9 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 3 | 0.2% coinsurance | Details |
| 10 | Dicloxacillin Sodium | Brand | Tier 2 | $15.00 | Details |
| 11 | Morphine Sulfate | Brand | Tier 4 | 0.3% coinsurance | Details |
| 12 | SOMAVERT pegvisomant | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Baclofen baclofen | Brand | Tier 2 | $15.00 | Details |
| 14 | Isoniazid | Brand | Tier 2 | $15.00 | Details |
| 15 | Diltiazem Hydrochloride | Brand | Tier 2 | $15.00 | Details |
| 16 | Linzess linaclotide | Brand | Tier 3 | 0.2% coinsurance | Details |
| 17 | Warfarin Sodium | Brand | Tier 1 | $3.00 | Details |
| 18 | Sodium Chloride | Brand | Tier 2 | $15.00 | Details |
| 19 | RETEVMO selpercatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Imatinib Mesylate | Brand | Tier 5 | 0.3% coinsurance | Details |
Showing 20 of 1,122 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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