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Medications
Alirocumab (Praluent) — plans on this site that list it on Tier 3
99 plans published on this site list this drug on Tier 3, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.
Align powered by Sanford Health Plan
2 plans on this site
- Align SecureChoice (PPO) — Offered in IA: Lyon, O'Brien, Osceola, Sioux; ND: 17 counties; SD: 19 counties
- Align SecureChoice Gold (PPO) — Offered in IA: Lyon, O'Brien, Osceola, Sioux; ND: 17 counties; SD: 19 counties
AlohaCare
1 plan on this site
- AlohaCare Advantage Plus (HMO D-SNP) — Offered in HI: Hawaii, Honolulu, Kalawao, Kauai, Maui
AmeriHealth
2 plans on this site
- AmeriHealth Medicare Classic Rx (HMO) — Offered in NJ: Atlantic, Burlington, Camden, Gloucester, Mercer, Middlesex, Ocean
- AmeriHealth Medicare Core (PPO) — Offered in NJ: Camden
AmeriHealth Caritas VIP Care (HMO-D-SNP)
1 plan on this site
- AmeriHealth Caritas VIP Care Choice (HMO D-SNP) — Offered in DE: Kent, New Castle, Sussex
Blue Care Network
4 plans on this site
- BCN Advantage Classic (HMO-POS) — Offered in MI: 24 counties
- BCN Advantage ConnectedCare (HMO) — Offered in MI: 11 counties
- BCN Advantage Prestige (HMO-POS) — Offered in MI: 24 counties
- BCN Advantage Prime Value (HMO-POS) — Offered in MI: Berrien, Branch, Calhoun, Gratiot, Hillsdale, Jackson, Monroe, Montcalm, St. Joseph, Van Buren
Blue Cross Blue Shield of Arizona (AZ Blue)
2 plans on this site
- Blue Best Life Classic (HMO) — Offered in AZ: Maricopa, Pinal
- Blue Best Life Plus (HMO) — Offered in AZ: Maricopa, Pinal
Blue Cross Blue Shield of Michigan
8 plans on this site
- Medicare Plus Blue + Meijer (PPO) — Offered in MI: 25 counties
- Medicare Plus Blue Assure (PPO) — Offered in MI: 29 counties
- Medicare Plus Blue Essential (PPO) — Offered in MI: Berrien, Branch, Calhoun, Gratiot, Hillsdale, Jackson, Monroe, Montcalm, St. Joseph, Van Buren
- Medicare Plus Blue Giveback (PPO) — Offered in MI: 27 counties
- Medicare Plus Blue Secure (PPO) — Offered in MI: 27 counties
- Medicare Plus Blue Signature (PPO) — Offered in MI: 29 counties
- Medicare Plus Blue Value (PPO) — Offered in MI: 56 counties
- Medicare Plus Blue Vitality (PPO) — Offered in MI: 29 counties
Blue Cross Blue Shield of South Carolina
2 plans on this site
- BlueCross Total (PPO) — Offered in SC: 12 counties
- BlueCross Total Value (PPO) — Offered in SC: 15 counties
CareOregon Advantage
1 plan on this site
- CareOregon Advantage Plus (HMO D-SNP) — Offered in OR: Clackamas, Columbia, Jackson, Multnomah, Washington
Clover Health
8 plans on this site
- Clover Health Choice (PPO) — Offered in NJ: 12 counties
- Clover Health Choice Giveback (PPO) — Offered in NJ: 20 counties
- Clover Health Choice Value (PPO) — Offered in NJ: 12 counties
- Clover Health Classic (HMO) — Offered in NJ: Atlantic, Bergen, Essex, Hudson, Passaic, Union
- Clover Health LiveHealthy (PPO) — Offered in GA: 151 counties
- Clover Health LiveHealthy Giveback (PPO) — Offered in GA: 139 counties; SC: 12 counties
- Clover Health LiveHealthy Premier (PPO) — Offered in GA: 151 counties
- Clover Health Value (HMO) — Offered in NJ: Atlantic, Bergen, Essex, Hudson, Middlesex, Passaic, Union
Fallon Health
3 plans on this site
- Fallon Medicare Plus Blue (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
- Fallon Medicare Plus Green (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
- Fallon Medicare Plus Orange (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
First Choice VIP Care (HMO D-SNP)
1 plan on this site
- First Choice VIP Care (HMO D-SNP) — Offered in SC: 46 counties
Great Plains Medicare Advantage
3 plans on this site
- Great Plain Medicare Advantage Gold (HMO I-SNP) — Offered in IA: Fremont, Harrison, Lyon, Mills, Montgomery, Plymouth, Pottawattamie, Shelby; ND: 19 counties; SD: 23 counties
- Great Plains Medicare Advantage (HMO I-SNP) — Offered in NE: 56 counties
- Great Plains Medicare Advantage Gold (HMO I-SNP) — Offered in NE: 56 counties
Health First Health Plans, Inc.
6 plans on this site
- Health First Classic H1099-001 (HMO-POS) — Offered in FL: Brevard, Indian River
- Health First Emerald Plus H1099-026 (HMO) — Offered in FL: Indian River
- Health First Emerald Plus H1099-028 (HMO) — Offered in FL: Flagler, Volusia
- Health First Rewards H1099-014 (HMO) — Offered in FL: Brevard, Indian River
- Health First SunSaver H1099-016 (HMO) — Offered in FL: Flagler, Volusia
- Health First Value H1099-006 (HMO) — Offered in FL: Brevard, Indian River
Health New England Medicare Advantage Plans
6 plans on this site
- Health New England Medicare Compass (PPO) — Offered in MA: Franklin, Hampden, Hampshire
- Health New England Medicare Plus (HMO) — Offered in MA: Berkshire, Franklin, Hampden, Hampshire
- Health New England Medicare Premium (HMO) — Offered in MA: Berkshire, Franklin, Hampden, Hampshire
- Health New England Medicare Select (HMO) — Offered in MA: Franklin, Hampden, Hampshire
- Health New England Medicare Standard (HMO) — Offered in MA: Berkshire
- Health New England Medicare Value (HMO) — Offered in MA: Franklin, Hampden, Hampshire
Highmark Blue Cross Blue Shield
2 plans on this site
- Highmark Health Options Duals (HMO D-SNP) — Offered in WV: 40 counties
- Highmark Health Options Duals Select (HMO D-SNP) — Offered in DE: Kent, New Castle, Sussex
Highmark Wholecare Medicare Assured
2 plans on this site
- Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) — Offered in PA: 57 counties
- Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) — Offered in PA: 57 counties
Independence Blue Cross
8 plans on this site
- Keystone 65 Assured Rx (HMO) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
- Keystone 65 Basic Rx (HMO) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
- Keystone 65 Essential Rx (HMO-POS) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
- Keystone 65 Focus Rx (HMO-POS) — Offered in PA: Chester, Delaware, Montgomery
- Keystone 65 Preferred Rx (HMO) — Offered in PA: Chester, Delaware, Montgomery
- Keystone 65 Select Rx (HMO) — Offered in PA: Chester, Delaware, Montgomery
- Personal Choice 65 Achieve Rx (PPO) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
- Personal Choice 65 Rx (PPO) — Offered in PA: Chester, Delaware, Montgomery
KelseyCare Advantage
2 plans on this site
- KelseyCare Advantage Freedom (HMO-POS) — Offered in TX: 13 counties
- KelseyCare Advantage Signature (HMO) — Offered in TX: Brazoria, Fort Bend, Galveston, Harris, Montgomery
MyAdvocate Medicare Advantage
2 plans on this site
- MyAdvocate Medicare Advantage GOLD (HMO-POS) — Offered in NE: 21 counties
- MyAdvocate Medicare Advantage SILVER (HMO-POS) — Offered in NE: 21 counties
Prominence Health Plan
11 plans on this site
- Prominence Beyond (HMO-POS) — Offered in TX: Cooke, Deaf Smith, Fannin, Gray, Grayson, Moore, Potter, Randall
- Prominence Bridge (HMO D-SNP) — Offered in TX: Brooks, Cameron, Hidalgo, Jim Hogg, Starr, Webb, Willacy, Zapata
- Prominence Diabetes and Heart (HMO C-SNP) — Offered in NV: Washoe
- Prominence Diabetes and Heart Care Plus (HMO C-SNP) — Offered in TX: Brooks, Cameron, Hidalgo, Jim Hogg, Starr, Webb, Willacy, Zapata
- Prominence Diabetes and Heart Giveback (HMO C-SNP) — Offered in TX: Cooke, Deaf Smith, Fannin, Gray, Grayson, Moore, Potter, Randall
- Prominence Dual (HMO D-SNP) — Offered in TX: Brooks, Cameron, Hidalgo, Jim Hogg, Starr, Webb, Willacy, Zapata
- Prominence Extra Help (HMO) — Offered in TX: Brooks, Cameron, Hidalgo, Jim Hogg, Starr, Webb, Willacy, Zapata
- Prominence Giveback (HMO) — Offered in TX: Cooke, Deaf Smith, Fannin, Gray, Grayson, Moore, Potter, Randall
- Prominence Meridian (HMO-POS) — Offered in NV: Washoe
- Prominence Plus (HMO) — Offered in TX: Cooke, Deaf Smith, Fannin, Gray, Grayson, Moore, Potter, Randall
- Prominence Silver Peak (HMO) — Offered in NV: Carson City, Churchill, Douglas, Lyon, Storey
Security Health Plan of Wisconsin, Inc.
4 plans on this site
- Esteem Rx (HMO) — Offered in WI: 33 counties
- Esteem Rx Gold (HMO-POS) — Offered in WI: 33 counties
- Esteem Rx Silver (HMO-POS) — Offered in WI: 33 counties
- Legacy Rx (HMO-POS) — Offered in WI: 33 counties
South Country Health Alliance
2 plans on this site
- AbilityCare (HMO D-SNP) — Offered in MN: Brown, Dodge, Goodhue, Sibley, Steele, Wabasha, Waseca
- SeniorCare Complete (HMO D-SNP) — Offered in MN: Brown, Dodge, Goodhue, Sibley, Steele, Wabasha, Waseca
Tufts Health Plan
6 plans on this site
- Tufts Medicare Preferred HMO Basic Rx (HMO) — Offered in MA: Barnstable, Bristol, Middlesex, Norfolk, Plymouth
- Tufts Medicare Preferred HMO Prime Rx (HMO) — Offered in MA: Barnstable, Bristol, Middlesex, Norfolk, Plymouth
- Tufts Medicare Preferred HMO Prime Rx Plus (HMO) — Offered in MA: Barnstable, Bristol, Middlesex, Norfolk, Plymouth
- Tufts Medicare Preferred HMO Smart Saver Rx (HMO) — Offered in MA: Bristol, Essex, Norfolk, Plymouth, Suffolk
- Tufts Medicare Preferred HMO Value Rx (HMO) — Offered in MA: Barnstable, Bristol, Middlesex, Norfolk, Plymouth
- Tufts Medicare Preferred PPO RX (PPO) — Offered in MA: Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
VISTA Health Plan Inc.
2 plans on this site
- Amerihealth Caritas VIP Care (HMO D-SNP) — Offered in PA: 62 counties
- Keystone First VIP Choice (HMO D-SNP) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
WyoBlue Advantage
2 plans on this site
- WyoBlue Advantage Enhanced PPO (PPO) — Offered in WY: 23 counties
- WyoBlue Advantage Essential PPO (PPO) — Offered in WY: 23 counties
eternalHealth
6 plans on this site
- eternalHealth Catalina (HMO) — Offered in AZ: Pima
- eternalHealth Forever (HMO) — Offered in MA: Bristol, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
- eternalHealth Freedom (PPO) — Offered in MA: Bristol, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
- eternalHealth Give Back (PPO) — Offered in MA: Bristol, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
- eternalHealth Harmony (HMO) — Offered in AZ: Graham, Maricopa, Pinal
- eternalHealth Horizon (HMO) — Offered in AZ: Graham, Maricopa, Pima, Pinal
A tier is not a price; what you pay depends on your plan, pharmacy, and benefit stage.
Source: CMS Prescription Drug Plan Formulary data + this site's published plan records · List built 2026-11-08
