Wellcare Assist (HMO-POS)
$31.60 /month
Monthly Premium
$550.00
Annual Deductible
948
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 | Chlorhexidine Gluconate | Brand | Tier 1 | $18.00 | Details |
| 2 | Lupron Depot leuprolide acetate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $18.00 | Details |
| 4 | Trumenba meningococcal group B vaccine | Brand | Tier 6 | $0.00 | Details |
| 5 | Ciprofloxacin | Brand | Tier 1 | $18.00 | Details |
| 6 | Warfarin Sodium | Brand | Tier 1 | $18.00 | Details |
| 7 | Estradiol | Brand | Tier 4 | 0.3% coinsurance | Details |
| 8 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $18.00 | Details |
| 9 | Xalkori CRIZOTINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Dicyclomine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 11 | Diltiazem Hydrochloride | Brand | Tier 2 | $19.00 | Details |
| 12 | Hydrochlorothiazide | Brand | Tier 1 | $18.00 | Details |
| 13 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 3 | 0.2% coinsurance | Details |
| 14 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 6 | $0.00 | Details |
| 15 | Linzess linaclotide | Brand | Tier 4 | 0.3% coinsurance | Details |
| 16 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 6 | $0.00 | Details |
| 17 | PODOFILOX | Brand | Tier 4 | 0.3% coinsurance | Details |
| 18 | NOVOLOG insulin aspart | Brand | Tier 3 | 0.2% coinsurance | Details |
| 19 | Haloperidol | Brand | Tier 2 | $19.00 | Details |
| 20 | Augtyro repotrectinib | Brand | Tier 5 | 0.3% coinsurance | Details |
Showing 20 of 948 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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