Medications
Atogepant (Qulipta) — plans on this site that list it on Tier 5
166 plans published on this site list this drug on Tier 5, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.
Aspire Health
4 plans on this site
- Aspire Health Advantage (HMO) — Offered in CA: Monterey
- Aspire Health Plus (HMO-POS) — Offered in CA: Monterey
- Aspire Health Protect (HMO) — Offered in CA: Monterey
- Aspire Health Value (HMO) — Offered in CA: Monterey
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 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
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
Independent Health
6 plans on this site
- Independent Health's Assure Advantage (HMO C-SNP) — Offered in NY: Erie
- Independent Health's Encompass 65 RED 042 (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Independent Health's Encompass 65 RED 044 (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Independent Health's Encompass 65 RED 045 (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Independent Health's Medicare Family Choice (HMO I-SNP) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Independent Health's Medicare Passport Connect (PPO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
Kaiser Permanente
110 plans on this site
- KP Medicare Duals H2960-024 (HMO D-SNP) — Offered in NV: Carson City, Washoe
- KP Medicare Value CC H2960 029 (HMO) — Offered in NV: Carson City
- KP Medicare Value H2960 028 (HMO) — Offered in NV: Storey, Washoe
- Kaiser Permanente Dual Complete (HMO D-SNP) — Offered in GA: 12 counties
- Kaiser Permanente Dual Complete Maui (HMO D-SNP) — Offered in HI: Maui
- Kaiser Permanente Dual Complete North P16 (HMO D-SNP) — Offered in CA: Alameda
- Kaiser Permanente Dual Complete North P17 (HMO D-SNP) — Offered in CA: Contra Costa
- Kaiser Permanente Dual Complete North P18 (HMO D-SNP) — Offered in CA: Fresno, Kings, Madera, Mariposa, Tulare
- Kaiser Permanente Dual Complete North P19 (HMO D-SNP) — Offered in CA: San Francisco
- Kaiser Permanente Dual Complete North P2 (HMO D-SNP) — Offered in CA: Amador, El Dorado, Sacramento
- Kaiser Permanente Dual Complete North P20 (HMO D-SNP) — Offered in CA: San Joaquin, Stanislaus
- Kaiser Permanente Dual Complete North P21 (HMO D-SNP) — Offered in CA: Santa Cruz
- Kaiser Permanente Dual Complete North P22 (HMO D-SNP) — Offered in CA: San Mateo
- Kaiser Permanente Dual Complete North P23 (HMO D-SNP) — Offered in CA: Santa Clara
- Kaiser Permanente Dual Complete North P24 (HMO D-SNP) — Offered in CA: Placer, Yolo, Yuba
- Kaiser Permanente Dual Complete North P25 (HMO D-SNP) — Offered in CA: Marin, Napa, Solano, Sonoma
- Kaiser Permanente Dual Complete Oahu (HMO D-SNP) — Offered in HI: Honolulu
- Kaiser Permanente Dual Complete Plan 1 MD (HMO D-SNP) — Offered in MD: Calvert, Charles, Frederick, Montgomery, Prince George's
- Kaiser Permanente Dual Complete Plan 2 MD (HMO D-SNP) — Offered in MD: Anne Arundel, Baltimore, Baltimore City, Carroll, Harford, Howard
- Kaiser Permanente Dual Complete Pueblo (HMO D-SNP) — Offered in CO: Pueblo
- Kaiser Permanente Dual Complete South P1 (HMO D-SNP) — Offered in CA: San Diego
- Kaiser Permanente Dual Complete South P10 (HMO D-SNP) — Offered in CA: Orange
- Kaiser Permanente Dual Complete South P11 (HMO D-SNP) — Offered in CA: Ventura
- Kaiser Permanente Dual Complete South P6 (HMO D-SNP) — Offered in CA: Riverside, San Bernardino
- Kaiser Permanente Dual Complete South P7 (HMO D-SNP) — Offered in CA: Kern
- Kaiser Permanente Dual Complete South P9 (HMO D-SNP) — Offered in CA: Los Angeles
- Kaiser Permanente Dual Essential (HMO D-SNP) — Offered in CO: 11 counties
- Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP) — Offered in GA: 12 counties
- Kaiser Permanente Dual Essential Plan 1 MD (HMO D-SNP) — Offered in MD: Calvert, Charles, Frederick, Montgomery, Prince George's
- Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP) — Offered in GA: Barrow, Butts, Newton, Rockdale, Spalding, Walton
- Kaiser Permanente Dual Essential Plan 2 MD (HMO D-SNP) — Offered in MD: Anne Arundel, Baltimore, Baltimore City, Carroll, Harford, Howard
- Kaiser Permanente Medicare Advantage Care Plus MD (HMO-POS) — Offered in MD: Howard, Montgomery
- Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS) — Offered in VA: Alexandria City, Arlington, Fairfax, Fairfax City, Falls Church City, Loudoun, Manassas City, Manassas Park City, Prince William
- Kaiser Permanente Medicare Advantage Centennial (HMO) — Offered in WA: Spokane
- Kaiser Permanente Medicare Advantage Columbia (HMO) — Offered in WA: Spokane
- Kaiser Permanente Medicare Advantage Essential (HMO) — Offered in WA: Grays Harbor, Kitsap, Lewis, Mason
- Kaiser Permanente Medicare Advantage Essential Kng (HMO) — Offered in WA: King
- Kaiser Permanente Medicare Advantage Essential Pce (HMO) — Offered in WA: Pierce
- Kaiser Permanente Medicare Advantage Essential Sno (HMO) — Offered in WA: Snohomish
- Kaiser Permanente Medicare Advantage Essential Thu (HMO) — Offered in WA: Thurston
- Kaiser Permanente Medicare Advantage High DC (HMO-POS) — Offered in DC: District of Columbia
- Kaiser Permanente Medicare Advantage High MD (HMO-POS) — Offered in MD: 11 counties
- Kaiser Permanente Medicare Advantage High VA (HMO-POS) — Offered in VA: 12 counties
- Kaiser Permanente Medicare Advantage Key King (HMO) — Offered in WA: King
- Kaiser Permanente Medicare Advantage Key Pierce (HMO) — Offered in WA: Pierce
- Kaiser Permanente Medicare Advantage Key Snohomish (HMO) — Offered in WA: Snohomish
- Kaiser Permanente Medicare Advantage Key Thurston (HMO) — Offered in WA: Thurston
- Kaiser Permanente Medicare Advantage Optimal (HMO) — Offered in WA: Grays Harbor, King, Lewis, Mason, Pierce, Snohomish, Thurston
- Kaiser Permanente Medicare Advantage Standard 1 MD (HMO-POS) — Offered in MD: Calvert, Charles, Frederick, Montgomery, Prince George's
- Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) — Offered in VA: 12 counties
- Kaiser Permanente Medicare Advantage Standard 2 MD (HMO-POS) — Offered in MD: Anne Arundel, Baltimore, Baltimore City, Carroll, Harford, Howard
- Kaiser Permanente Medicare Advantage Standard 2 VA (HMO-POS) — Offered in VA: 12 counties
- Kaiser Permanente Medicare Advantage Standard DC (HMO-POS) — Offered in DC: District of Columbia
- Kaiser Permanente Medicare Advantage Value 1 MD (HMO) — Offered in MD: Calvert, Charles, Frederick, Montgomery, Prince George's
- Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS) — Offered in VA: Alexandria City, Arlington, Fairfax, Fairfax City, Falls Church City
- Kaiser Permanente Medicare Advantage Value 2 MD (HMO) — Offered in MD: Carroll, Harford, Howard
- Kaiser Permanente Medicare Advantage Value 2 VA (HMO-POS) — Offered in VA: Fredericksburg City, Loudoun, Manassas City, Manassas Park City, Prince William, Spotsylvania, Stafford
- Kaiser Permanente Medicare Advantage Value DC (HMO-POS) — Offered in DC: District of Columbia
- Kaiser Permanente Medicare Advantage Vital Sound (HMO) — Offered in WA: Grays Harbor, Kitsap, Lewis, Mason
- Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) — Offered in CA: Alameda, Napa, San Francisco
- Kaiser Permanente Senior Advantage Basic (HMO) — Offered in HI: Honolulu
- Kaiser Permanente Senior Advantage Basic 1 (HMO) — Offered in GA: 12 counties
- Kaiser Permanente Senior Advantage Basic 2 (HMO) — Offered in GA: Barrow, Butts, Newton, Rockdale, Spalding, Walton
- Kaiser Permanente Senior Advantage Basic Alameda (HMO) — Offered in CA: Alameda
- Kaiser Permanente Senior Advantage Basic Fresno (HMO) — Offered in CA: Fresno, Kings, Madera, Mariposa, Tulare
- Kaiser Permanente Senior Advantage Basic Kern (HMO) — Offered in CA: Kern
- Kaiser Permanente Senior Advantage Basic Marin (HMO) — Offered in CA: Marin
- Kaiser Permanente Senior Advantage Basic SF (HMO) — Offered in CA: San Francisco
- Kaiser Permanente Senior Advantage Basic San Mateo (HMO) — Offered in CA: San Mateo
- Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) — Offered in CA: San Joaquin
- Kaiser Permanente Senior Advantage Basic Solano (HMO) — Offered in CA: Solano
- Kaiser Permanente Senior Advantage Basic Stanis (HMO) — Offered in CA: Stanislaus
- Kaiser Permanente Senior Advantage Bronze DM (HMO-POS) — Offered in CO: 11 counties
- Kaiser Permanente Senior Advantage Care Plus (HMO-POS) — Offered in GA: 12 counties
- Kaiser Permanente Senior Advantage Core DM (HMO-POS) — Offered in CO: 11 counties
- Kaiser Permanente Senior Advantage Core North (HMO-POS) — Offered in CO: Larimer, Weld
- Kaiser Permanente Senior Advantage Core South (HMO-POS) — Offered in CO: El Paso, Fremont, Pueblo, Teller
- Kaiser Permanente Senior Advantage Enhanced (HMO) — Offered in HI: Honolulu
- Kaiser Permanente Senior Advantage Enhanced (HMO-POS) — Offered in OR: Benton, Clackamas, Columbia, Linn, Marion, Multnomah, Polk, Washington, Yamhill; WA: Clark, Cowlitz, Wahkiakum
- Kaiser Permanente Senior Advantage Enhanced 1 (HMO) — Offered in GA: 12 counties
- Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) — Offered in CA: Fresno, Kings, Madera, Mariposa, Tulare
- Kaiser Permanente Senior Advantage Enhanced Kern (HMO) — Offered in CA: Kern
- Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO) — Offered in CA: San Joaquin
- Kaiser Permanente Senior Advantage Enhanced Solano (HMO) — Offered in CA: Solano
- Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) — Offered in CA: Stanislaus
- Kaiser Permanente Senior Advantage Gold (HMO-POS) — Offered in CO: 11 counties
- Kaiser Permanente Senior Advantage Hawaii Island (HMO) — Offered in HI: Hawaii
- Kaiser Permanente Senior Advantage Inland Empire (HMO) — Offered in CA: Riverside, San Bernardino
- Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) — Offered in CA: Los Angeles, Orange
- Kaiser Permanente Senior Advantage Maui (HMO) — Offered in HI: Maui
- Kaiser Permanente Senior Advantage San Diego (HMO) — Offered in CA: San Diego
- Kaiser Permanente Senior Advantage San Diego Value (HMO) — Offered in CA: San Diego
- Kaiser Permanente Senior Advantage Santa Cruz (HMO) — Offered in CA: Santa Cruz
- Kaiser Permanente Senior Advantage Silver DM (HMO-POS) — Offered in CO: 11 counties
- Kaiser Permanente Senior Advantage Silver North (HMO-POS) — Offered in CO: Larimer, Weld
- Kaiser Permanente Senior Advantage Standard (HMO) — Offered in GA: Cherokee, Clayton, Cobb, DeKalb, Fulton, Gwinnett, Henry
- Kaiser Permanente Senior Advantage Standard (HMO-POS) — Offered in OR: Benton, Clackamas, Columbia, Linn, Marion, Multnomah, Polk, Washington, Yamhill; WA: Clark, Cowlitz, Wahkiakum
- Kaiser Permanente Senior Advantage Value (HMO-POS) — Offered in OR: Benton, Clackamas, Columbia, Linn, Marion, Multnomah, Polk, Washington, Yamhill; WA: Clark, Cowlitz, Wahkiakum
- Kaiser Permanente Senior Advantage Value Lane (HMO-POS) — Offered in OR: Lane
- Kaiser Permanente Senior Advantage Ventura (HMO) — Offered in CA: Ventura
- Kaiser Permanente Senior Advantage Ventura Value (HMO) — Offered in CA: Ventura
- Kaiser Permanente Sr Adv Basic Contra Costa (HMO) — Offered in CA: Contra Costa
- Kaiser Permanente Sr Adv Basic Santa Clara (HMO) — Offered in CA: Santa Clara
- Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO) — Offered in CA: Contra Costa
- Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) — Offered in CA: Marin, San Mateo
- Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) — Offered in CA: Amador, El Dorado, Placer, Sacramento, Sonoma, Sutter, Yolo, Yuba
- Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) — Offered in CA: Santa Clara
- Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) — Offered in CA: Amador, El Dorado, Placer, Sacramento, Sonoma, Sutter, Yolo, Yuba
- Kaiser Permanente Sr Advantage Inland Empire Value (HMO) — Offered in CA: Riverside, San Bernardino
- Kaiser Permanente Sr Advantage LA, Orange Value (HMO) — Offered in CA: Los Angeles, Orange
Mass General Brigham Health Plan
3 plans on this site
- Mass General Brigham Advantage Core (HMO-POS) — Offered in MA: Bristol, Dukes, Essex, Middlesex, Nantucket, Norfolk, Plymouth, Suffolk, Worcester
- Mass General Brigham Advantage Plus (HMO-POS) — Offered in MA: Bristol, Dukes, Essex, Middlesex, Nantucket, Norfolk, Plymouth, Suffolk, Worcester
- Mass General Brigham Advantage Secure (HMO-POS) — Offered in MA: Bristol, Dukes, Essex, Middlesex, Nantucket, Norfolk, Plymouth, Suffolk, Worcester
PrimeTime Health Plan
3 plans on this site
- PrimeTime Health Plan Aultimate (HMO-POS) — Offered in OH: Carroll, Columbiana, Harrison, Holmes, Mahoning, Medina, Portage, Stark, Summit, Wayne
- PrimeTime Health Plan Classic (HMO-POS) — Offered in OH: Carroll, Columbiana, Harrison, Holmes, Mahoning, Medina, Portage, Stark, Summit, Wayne
- PrimeTime Health Plan Plus (HMO-POS) — Offered in OH: Carroll, Columbiana, Harrison, Holmes, Mahoning, Medina, Portage, Stark, Summit, Wayne
Quartz Medicare Advantage (HMO)
14 plans on this site
- Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO) — Offered in MN: Fillmore, Houston, Wabasha
- Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO) — Offered in MN: Fillmore, Houston, Wabasha
- Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO) — Offered in MN: Fillmore, Houston, Wabasha
- Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO) — Offered in MN: Fillmore, Houston, Wabasha
- Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) — Offered in IA: Allamakee, Fayette, Winneshiek; WI: Buffalo, La Crosse, Monroe, Pepin, Trempealeau
- Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) — Offered in IA: Allamakee, Fayette, Winneshiek; WI: Buffalo, La Crosse, Monroe, Pepin, Trempealeau
- Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP) — Offered in WI: La Crosse
- Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO) — Offered in IA: Allamakee, Fayette, Winneshiek; WI: Buffalo, La Crosse, Monroe, Pepin, Trempealeau
- Gundersen Quartz Med Advantage Value D (w/Rx) (HMO) — Offered in IA: Allamakee, Fayette, Winneshiek; WI: Buffalo, La Crosse, Monroe, Pepin, Trempealeau
- UW Health Quartz Med Advantage Basic D (w/Rx) (HMO) — Offered in WI: Columbia, Dane, Green
- UW Health Quartz Med Advantage Core D (w/Rx) (HMO) — Offered in WI: Columbia, Dane, Green
- UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP) — Offered in WI: Dane
- UW Health Quartz Med Advantage Elite D (w/Rx) (HMO) — Offered in WI: Columbia, Dane, Green
- UW Health Quartz Med Advantage Value D (w/Rx) (HMO) — Offered in WI: Columbia, Dane, Green
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
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
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