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Medications
Asenapine (Saphris, Secuado) — plans on this site that list it on Tier 3
28 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.
Freedom Health, Inc.
10 plans on this site
- Freedom Medi-Medi Full (HMO D-SNP) — Offered in FL: Brevard
- Freedom Medi-Medi Partial (HMO D-SNP) — Offered in FL: 24 counties
- Freedom Medicare Plan Rx (HMO) — Offered in FL: Brevard, Charlotte, Lee, Pinellas, Volusia
- Freedom Máximo (HMO-POS) — Offered in FL: Orange, Osceola, Seminole
- Freedom Platinum Plan Rx (HMO) — Offered in FL: Charlotte, Collier, Lee, Manatee, Sarasota
- Freedom Platinum Rewards Plan Rx (HMO) — Offered in FL: Orange, Osceola, Seminole, Volusia
- Freedom VIP Care (HMO C-SNP) — Offered in FL: 16 counties
- Freedom VIP Rewards (HMO C-SNP) — Offered in FL: Brevard, Indian River, Martin, St. Lucie
- Freedom VIP Savings (HMO C-SNP) — Offered in FL: 16 counties
- Freedom VIP Savings COPD (HMO C-SNP) — Offered in FL: 16 counties
Optimum HealthCare, Inc.
11 plans on this site
- Optimum Diamond (HMO C-SNP) — Offered in FL: Citrus, Hernando, Hillsborough, Pasco, Pinellas
- Optimum Diamond Rewards (HMO C-SNP) — Offered in FL: Citrus, Hernando, Hillsborough, Pasco, Pinellas
- Optimum Diamond Rewards COPD (HMO C-SNP) — Offered in FL: Citrus, Hernando, Hillsborough, Pasco, Pinellas
- Optimum Diamond Savings (HMO C-SNP) — Offered in FL: 18 counties
- Optimum Diamond Savings COPD (HMO C-SNP) — Offered in FL: 14 counties
- Optimum Emerald Full (HMO D-SNP) — Offered in FL: Collier
- Optimum Emerald Partial (HMO D-SNP) — Offered in FL: 24 counties
- Optimum Gold Plan (HMO) — Offered in FL: Citrus, Polk, Sarasota
- Optimum Gold Plus Plan (HMO) — Offered in FL: Citrus, Hernando
- Optimum Gold Rewards Plan (HMO) — Offered in FL: Broward, Citrus, Hernando, Hillsborough, Pasco, Pinellas
- Optimum Platinum Plan (HMO) — Offered in FL: Broward, Citrus, Hernando, Hillsborough, Pasco, Pinellas
Select Health
4 plans on this site
- Select Health Medicare Dual (HMO D-SNP) — Offered in UT: Davis, Iron, Salt Lake, Utah, Washington, Weber
- Select Health Medicare Essential (HMO) — Offered in CO: Adams, Arapahoe, Denver, Douglas, El Paso, Elbert, Jefferson, Pueblo, Teller
- Select Health Medicare Value Giveback (HMO) — Offered in NV: Clark, Nye
- Select Health Medicare Wellness (HMO) — Offered in NV: Clark, Nye
VillageCareMAX
3 plans on this site
- VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) — Offered in NY: Bronx, Kings, New York, Putnam, Queens, Richmond, Westchester
- VillageCareMAX Medicare Select Advantage Plan (HMO) — Offered in NY: Bronx, Kings, Nassau, New York, Putnam, Queens, Richmond, Westchester
- VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) — Offered in NY: Bronx, Kings, Nassau, New York, Putnam, Queens, Richmond, Westchester
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