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Home › Medications › Atogepant (Qulipta) › Tier 3 plans

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Atogepant (Qulipta) — plans on this site that list it on Tier 3

1264 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.

AMH Health

5 plans on this site

ATRIO Health Plans

4 plans on this site

Aetna Medicare

121 plans on this site

Allina Health Aetna Medicare

7 plans on this site

Alterwood Advantage

4 plans 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

5 plans on this site

Arkansas Blue Medicare

3 plans on this site

Astiva Health

8 plans on this site

Banner Medicare Advantage

1 plan on this site

Blue Cross Blue Shield of Massachusetts

7 plans on this site

Blue Cross and Blue Shield of Louisiana

8 plans on this site

BlueCare Plus Tennessee

3 plans on this site

BlueCross BlueShield of Tennessee

8 plans on this site

CCHP (Chinese Community Health Plan)

3 plans on this site

CareFirst BlueCross BlueShield Advantage DualPrime

1 plan on this site

CareFirst BlueCross BlueShield Medicare Advantage

3 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

Community Health Group

2 plans on this site

Community Health Plan of Imperial Valley

1 plan on this site

Contra Costa Health Care Plus (HMO D-SNP)

1 plan on this site

Cox HealthPlans

3 plans on this site

Devoted Health

711 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

Essence Healthcare

7 plans on this site

Geisinger Gold

9 plans on this site

GlobalHealth

6 plans on this site

Gold Kidney Health Plan

4 plans on this site

HAP CareSource MI Coordinated Health

1 plan on this site

HMSA Akamai Advantage

5 plans on this site

Health First Health Plans, Inc.

6 plans on this site

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

1 plan on this site

HealthTeam Advantage

4 plans on this site

Healthfirst Medicare Plan

6 plans on this site

Healthy Blue

3 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

Imperial Health Plan of California, Inc.

3 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

Kern Family Health Care Medicare (D-SNP)

1 plan on this site

MVP HEALTH CARE

7 plans on this site

Martin's Point Generations Advantage

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

1 plan 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

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

Prominence Health Plan

11 plans on this site

San Francisco Health Plan

1 plan on this site

Santa Clara Family Health Plan

1 plan on this site

Senior Whole Health of New York

2 plans on this site

Sentara Medicare

2 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

Troy Medicare

2 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

Upper Peninsula Health Plan (UPHP) MI Coordinated Health

1 plan 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

Zing Health

36 plans 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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