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Home › Medications › Artemether / Lumefantrine (Coartem) › Tier 4 plans

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Medications

Artemether / Lumefantrine (Coartem) — plans on this site that list it on Tier 4

2888 plans published on this site list this drug on Tier 4, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.

AMH Health

5 plans on this site

ATRIO Health Plans

4 plans on this site

Aetna Medicare

121 plans on this site

Align powered by Sanford Health Plan

2 plans on this site

Alignment Health Plan

72 plans on this site

Allina Health Aetna Medicare

7 plans on this site

AlohaCare

1 plan on this site

Alterwood Advantage

4 plans on this site

AmeriHealth

2 plans on this site

AmeriHealth Caritas VIP Care (HMO-D-SNP)

1 plan on this site

Anthem Blue Cross

7 plans on this site

Anthem Blue Cross Partnership Plan

5 plans on this site

Anthem Blue Cross and Blue Shield

24 plans on this site

Anthem Blue Cross and Blue Shield HP

2 plans on this site

Anthem HealthKeepers

6 plans on this site

Arkansas Blue Medicare

3 plans on this site

Aspire Health

4 plans on this site

Astiva Health

8 plans on this site

Banner Medicare Advantage

1 plan on this site

BayCare Health Plans

2 plans on this site

Baylor Scott & White Health Plan

6 plans on this site

Blue Care Network

4 plans on this site

Blue Cross & Blue Shield of Rhode Island

5 plans on this site

Blue Cross Blue Shield of Arizona (AZ Blue)

3 plans on this site

Blue Cross Blue Shield of Massachusetts

7 plans on this site

Blue Cross Blue Shield of Michigan

8 plans on this site

Blue Cross Blue Shield of South Carolina

2 plans on this site

Blue Cross and Blue Shield of Alabama

3 plans on this site

Blue Cross and Blue Shield of IL, NM

4 plans on this site

Blue Cross and Blue Shield of Kansas

3 plans on this site

Blue Cross and Blue Shield of Louisiana

8 plans on this site

Blue Cross and Blue Shield of Minnesota

3 plans on this site

Blue Cross and Blue Shield of Nebraska

3 plans on this site

Blue Cross and Blue Shield of North Carolina

5 plans on this site

Blue Cross of Idaho

6 plans on this site

Blue Plus

1 plan on this site

Blue Shield of California

9 plans on this site

CCHP (Chinese Community Health Plan)

3 plans on this site

CDPHP Medicare Advantage

3 plans on this site

  • CDPHP $0 Medicare Rx (HMO) — Offered in NY: Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington
  • CDPHP Choice Rx (HMO) — Offered in NY: Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington
  • CDPHP Clear Rx (HMO) — Offered in NY: Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington

Capital Blue Cross

10 plans on this site

Capital Health Plan

4 plans on this site

CareFirst BlueCross BlueShield Advantage DualPrime

1 plan on this site

CareFirst BlueCross BlueShield Medicare Advantage

3 plans on this site

CareOregon Advantage

1 plan on this site

CarePlus Health Plans, Inc.

17 plans on this site

CenCal CareConnect

1 plan on this site

Central California Alliance for Health

1 plan on this site

Champion Heath Plan

10 plans on this site

Clever Care Health Plan

6 plans on this site

Clover Health

8 plans on this site

Community Health Group

2 plans on this site

Community Health Plan of Imperial Valley

1 plan on this site

Community Health Plan of WA Medicare Advantage

2 plans on this site

Contra Costa Health Care Plus (HMO D-SNP)

1 plan on this site

Cox HealthPlans

3 plans on this site

Dean Advantage

4 plans on this site

Devoted Health

711 plans on this site

Doctors HealthCare Plans, Inc.

9 plans on this site

Elderplan

1 plan on this site

Elevate Medicare Advantage

2 plans on this site

Elite Health Plan, Inc.

2 plans on this site

EmblemHealth

5 plans on this site

Essence Healthcare

7 plans on this site

Excellus Health Plan Community Care LLC

4 plans on this site

Excellus Health Plan, Inc

14 plans on this site

Fallon Health

3 plans on this site

First Choice VIP Care (HMO D-SNP)

1 plan on this site

Florida Blue

2 plans on this site

Florida Blue HMO

6 plans on this site

Florida Complete Care

3 plans on this site

Geisinger Gold

9 plans on this site

GlobalHealth

6 plans on this site

Gold Coast Health Plan

1 plan on this site

Gold Kidney Health Plan

4 plans on this site

Great Plains Medicare Advantage

3 plans on this site

Group Health Cooperative of Eau Claire

2 plans on this site

HAP CareSource MI Coordinated Health

1 plan on this site

HMSA Akamai Advantage

5 plans on this site

Health Alliance Plan by Henry Ford Health

12 plans on this site

Health First Health Plans, Inc.

6 plans on this site

Health New England Medicare Advantage Plans

6 plans on this site

Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)

1 plan on this site

HealthPartners

5 plans on this site

HealthSpring

15 plans on this site

HealthSun Health Plans, Inc.

6 plans on this site

HealthTeam Advantage

4 plans on this site

Healthfirst Medicare Plan

6 plans on this site

Healthy Arkansas, Inc.

3 plans on this site

Healthy Blue

3 plans on this site

Healthy Mississippi, Inc.

4 plans on this site

Highmark Blue Cross Blue Shield

4 plans on this site

Highmark Blue Cross Blue Shield or Highmark Blue Shield

20 plans on this site

Highmark Wholecare Medicare Assured

2 plans on this site

Horizon Blue Cross Blue Shield of New Jersey

1 plan on this site

Humana

486 plans on this site

Imperial Health Plan of California, Inc.

3 plans on this site

Independence Blue Cross

8 plans on this site

Independent Health

6 plans on this site

Itasca Medical Care/IMCare Classic

1 plan on this site

Jefferson Health Plans

10 plans on this site

Johns Hopkins Advantage MD

5 plans on this site

KelseyCare Advantage

2 plans on this site

Kern Family Health Care Medicare (D-SNP)

1 plan on this site

L.A. Care Health Plan

1 plan on this site

MCS Classicare

16 plans on this site

MVP HEALTH CARE

7 plans on this site

Martin's Point Generations Advantage

3 plans on this site

Mass General Brigham Health Plan

3 plans on this site

McLaren Medicare

3 plans on this site

MedCare Partners Health Plan of Texas

3 plans on this site

MediGold

8 plans on this site

Medica

6 plans on this site

Medical Mutual of Ohio

10 plans on this site

Medicare y Mucho Mas (MMM)

16 plans on this site

MetroPlus Health Plan

1 plan on this site

Molina Healthcare of Illinois

1 plan on this site

Molina Healthcare of Massachusetts

3 plans on this site

Molina Healthcare of Michigan

1 plan on this site

Molina Healthcare of Ohio

2 plans on this site

Molina Healthcare of Texas, Inc.

1 plan on this site

Molina Healthcare of Washington, Inc.

1 plan on this site

Molina Healthcare of Wisconsin

2 plans on this site

MyAdvocate Medicare Advantage

2 plans on this site

MyTruAdvantage

3 plans on this site

Neighborhood Health Plan of Rhode Island

2 plans on this site

Network Health Medicare Advantage Plans

7 plans on this site

PacificSource Medicare

5 plans on this site

Passport Advantage

1 plan on this site

Peoples Health

11 plans on this site

Presbyterian Health Plan

1 plan on this site

PrimeTime Health Plan

3 plans on this site

Priority Health Medicare

12 plans on this site

Prominence Health Plan

11 plans on this site

Quartz Medicare Advantage (HMO)

14 plans on this site

Range Health

4 plans on this site

Regence BlueCross BlueShield of Oregon

3 plans on this site

Regence BlueShield

1 plan on this site

Samaritan Advantage Health Plans

1 plan on this site

San Francisco Health Plan

1 plan on this site

Santa Clara Family Health Plan

1 plan on this site

Security Health Plan of Wisconsin, Inc.

4 plans on this site

Select Health

4 plans on this site

Senior Whole Health of New York

2 plans on this site

Simply Healthcare Plans, Inc.

2 plans on this site

Solis Health Plans

5 plans on this site

South Country Health Alliance

2 plans on this site

St. Luke's Health Plan

3 plans on this site

SummaCare Medicare Advantage Plans

5 plans on this site

The Health Plan

4 plans on this site

Trinity Health Plan New York

2 plans on this site

Trinity Health Plan of Michigan

3 plans on this site

Triple-S Advantage

6 plans on this site

Troy Medicare

2 plans on this site

Tufts Health Plan

6 plans on this site

UCLA Health Medicare Advantage Plan

2 plans on this site

UPMC for Life

11 plans on this site

UPMC for Life Complete Care

1 plan on this site

Ultimate Health Plans

5 plans on this site

UnitedHealthcare

696 plans on this site

Upper Peninsula Health Plan (UPHP) MI Coordinated Health

1 plan on this site

VISTA Health Plan Inc.

2 plans on this site

VIVA Medicare

5 plans on this site

VNS Health Medicare

1 plan on this site

Verda Health Plan of Texas

2 plans on this site

VillageCareMAX

3 plans on this site

Wellpoint

30 plans on this site

WyoBlue Advantage

2 plans on this site

Zing Health

36 plans on this site

eternalHealth

6 plans on this site

iCare

1 plan on this site

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

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