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Medications
Balsalazide (Colazal and others) — plans on this site that list it on Tier 3
223 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.
Alignment Health Plan
72 plans on this site
- Alignment Health + AllCare Preferred 011 (HMO) — Offered in CA: Stanislaus
- Alignment Health + CommUnity 046 (HMO) — Offered in CA: Fresno, Madera
- Alignment Health + Intermountain Health 009 (HMO) — Offered in NV: Clark, Nye
- Alignment Health AVA 001 (PPO) — Offered in NC: 16 counties
- Alignment Health Advantage 001 (PPO) — Offered in CA: Fresno, Los Angeles, Madera, San Joaquin, Stanislaus, Ventura
- Alignment Health Advantage 002 (PPO) — Offered in CA: Santa Clara
- Alignment Health Advantage 005 (PPO) — Offered in CA: Los Angeles, San Diego
- Alignment Health BRIDGE 003 (HMO) — Offered in CA: Los Angeles
- Alignment Health BRIDGE 013 (HMO-POS) — Offered in TX: Bexar
- Alignment Health Balance 006 (PPO) — Offered in CA: San Joaquin, Stanislaus
- Alignment Health Balance 033 (HMO C-SNP) — Offered in CA: Los Angeles, Orange
- Alignment Health Balance Plus 004 (PPO) — Offered in CA: San Diego, San Joaquin, Stanislaus
- Alignment Health BreathEasy Plus 041 (HMO C-SNP) — Offered in CA: 18 counties
- Alignment Health Clarity Plus 042 (HMO C-SNP) — Offered in CA: 18 counties
- Alignment Health Duals+ 004 (HMO-POS D-SNP) — Offered in NC: 20 counties
- Alignment Health Duals+ 005 (HMO D-SNP) — Offered in NV: Clark, Washoe
- Alignment Health Duals+ 007 (HMO-POS D-SNP) — Offered in TX: Bexar, Comal, El Paso, Hudspeth
- Alignment Health Duals+ 009 (HMO-POS D-SNP) — Offered in TX: El Paso, Hudspeth
- Alignment Health Duals+ 030 (HMO D-SNP) — Offered in CA: Marin, San Francisco, San Joaquin, San Luis Obispo, Stanislaus, Ventura
- Alignment Health Heart & Diabetes 002 (HMO-POS C-SNP) — Offered in TX: Bexar, Comal, El Paso, Hudspeth
- Alignment Health Heart & Diabetes 003 (HMO C-SNP) — Offered in AZ: Maricopa, Pima, Santa Cruz
- Alignment Health Heart & Diabetes 004 (HMO C-SNP) — Offered in NV: Clark
- Alignment Health Heart & Diabetes 010 (HMO C-SNP) — Offered in CA: 19 counties
- Alignment Health Heart & Diabetes 011 (HMO C-SNP) — Offered in NC: 20 counties
- Alignment Health Heart & Diabetes 048 (HMO C-SNP) — Offered in CA: 15 counties
- Alignment Health Heart & Diabetes 051 (HMO C-SNP) — Offered in CA: 19 counties
- Alignment Health Heart & Diabetes 054 (HMO C-SNP) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
- Alignment Health Heart & Diabetes Plus 004 (HMO-POS C-SNP) — Offered in TX: Bexar, Comal, El Paso, Hudspeth
- Alignment Health Heart & Diabetes Plus 006 (HMO C-SNP) — Offered in AZ: Maricopa, Pima, Santa Cruz
- Alignment Health Heart & Diabetes Plus 007 (HMO C-SNP) — Offered in AZ: Maricopa, Pima, Santa Cruz
- Alignment Health Heart & Diabetes Plus 009 (HMO-POS C-SNP) — Offered in NC: 20 counties
- Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP) — Offered in CA: 20 counties
- Alignment Health Heart & Diabetes Plus 044 (HMO C-SNP) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino
- Alignment Health Heart & Diabetes Plus 045 (HMO C-SNP) — Offered in CA: Santa Clara
- Alignment Health Honor Plus 060 (HMO) — Offered in CA: 23 counties
- Alignment Health My Choice 001 (HMO) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino
- Alignment Health My Choice 001 (PPO) — Offered in CA: Santa Cruz, Stanislaus
- Alignment Health My Choice 028 (HMO) — Offered in CA: San Luis Obispo, Ventura
- Alignment Health My Choice 050 (HMO) — Offered in CA: 19 counties
- Alignment Health My Choice 061 (HMO) — Offered in CA: Kern
- Alignment Health ONE + Walgreens 001 (HMO) — Offered in AZ: Maricopa
- Alignment Health ONE + Walgreens 001 (HMO-POS) — Offered in TX: El Paso, Hudspeth
- Alignment Health ONE + Walgreens 002 (HMO) — Offered in AZ: Pima, Santa Cruz
- Alignment Health ONE + Walgreens 035 (HMO) — Offered in CA: Fresno, Madera, Merced
- Alignment Health ONE 008 (HMO) — Offered in AZ: Pima
- Alignment Health ONE 011 (HMO-POS) — Offered in TX: Bexar, Comal
- Alignment Health Platinum + Instacart 007 (HMO) — Offered in NV: Clark
- Alignment Health Platinum + Instacart 008 (HMO) — Offered in CA: Los Angeles, Orange
- Alignment Health Platinum + Instacart 016 (HMO-POS) — Offered in CA: Marin, San Diego, San Francisco
- Alignment Health Platinum 010 (HMO) — Offered in NC: 16 counties
- Alignment Health Platinum 012 (HMO) — Offered in NC: Cabarrus, Gaston, Mecklenburg, Rowan
- Alignment Health Platinum 057 (HMO) — Offered in CA: Kern, Kings, Tulare
- Alignment Health Platinum 059 (HMO) — Offered in CA: San Joaquin
- Alignment Health Platinum Preferred 004 (HMO) — Offered in CA: Orange
- Alignment Health Platinum Preferred+ 005 (HMO) — Offered in CA: Orange
- Alignment Health Smart 003 (HMO-POS) — Offered in TX: El Paso, Hudspeth
- Alignment Health Smart 005 (HMO) — Offered in AZ: Maricopa, Pima, Santa Cruz
- Alignment Health Smart 006 (HMO) — Offered in NC: 16 counties
- Alignment Health Smart 008 (HMO) — Offered in NV: Clark
- Alignment Health Smart 010 (HMO-POS) — Offered in TX: El Paso, Hudspeth
- Alignment Health Smart 012 (HMO-POS) — Offered in TX: Bexar, Comal
- Alignment Health Smart 013 (HMO) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
- Alignment Health Smart 038 (HMO) — Offered in CA: Placer, Sacramento, Yolo
- Alignment Health Smart 040 (HMO) — Offered in CA: Merced, Santa Clara, Stanislaus, Ventura
- Alignment Health Smart 047 (HMO) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
- Alignment Health Smart 055 (HMO) — Offered in CA: Los Angeles
- Alignment Health Smart 056 (HMO) — Offered in CA: San Diego
- Alignment Health Sutter Advantage +More (HMO) — Offered in CA: Placer, Sacramento, Yolo
- Alignment Health ValorCare 053 (HMO) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
- Central Health Harmony 001 (HMO) — Offered in CA: Los Angeles, Orange
- Central Health Harmony 031 (HMO) — Offered in CA: Alameda, San Francisco, San Mateo, Santa Clara
- Central Health Harmony Plus 002 (HMO C-SNP) — Offered in CA: Los Angeles, Orange
Banner Medicare Advantage
1 plan on this site
- Banner Medicare Advantage Prime (HMO) — Offered in AZ: Maricopa
Blue Cross and Blue Shield of Louisiana
8 plans on this site
- Blue adVantage Classic (HMO-POS) — Offered in LA: 21 counties
- Blue adVantage Dual Plus (HMO-POS D-SNP) — Offered in LA: 64 counties
- Blue adVantage Giveback (HMO-POS) — Offered in LA: 31 counties
- Blue adVantage Liberty (PPO) — Offered in LA: 63 counties
- Blue adVantage Platinum (HMO-POS) — Offered in LA: 48 counties
- Blue adVantage Premier (PPO) — Offered in LA: 64 counties
- Blue adVantage Reliance (HMO-POS) — Offered in LA: 47 counties
- Blue adVantage Thrive (PPO) — Offered in LA: 31 counties
Blue Shield of California
9 plans on this site
- Blue Shield 65 Plus (HMO) — Offered in CA: Los Angeles, Orange
- Blue Shield 65 Plus Choice Plan (HMO) — Offered in CA: Riverside, San Bernardino
- Blue Shield 65 Plus Plan 2 (HMO) — Offered in CA: Los Angeles, Orange
- Blue Shield Advantage (HMO) — Offered in CA: Placer, Sacramento
- Blue Shield AdvantageOptimum Plan (HMO) — Offered in CA: Los Angeles, Orange
- Blue Shield AdvantageOptimum Plan 1 (HMO) — Offered in CA: San Diego
- Blue Shield Inspire (HMO) — Offered in CA: Merced, San Joaquin, Santa Clara, Stanislaus
- Blue Shield Medicare + Medi-Cal Plan (HMO D-SNP) — Offered in CA: Los Angeles, San Diego
- Blue Shield Value Advantage Plan (HMO) — Offered in CA: Los Angeles
CarePlus Health Plans, Inc.
17 plans on this site
- CareAccess (HMO) — Offered in FL: 17 counties
- CareBreeze (HMO C-SNP) — Offered in FL: 20 counties
- CareBreeze Platinum (HMO C-SNP) — Offered in FL: Brevard, Clay, Duval, Flagler, Indian River, St. Johns, Volusia
- CareBreeze Platinum (HMO-POS C-SNP) — Offered in FL: Broward, Palm Beach
- CareComplete (HMO C-SNP) — Offered in FL: 20 counties
- CareComplete Local (HMO C-SNP) — Offered in FL: Lake, Marion, Sumter
- CareComplete Platinum (HMO C-SNP) — Offered in FL: Brevard, Clay, Duval, Flagler, Indian River, St. Johns, Volusia
- CareComplete Platinum (HMO-POS C-SNP) — Offered in FL: Broward, Palm Beach
- CareFree Giveback (HMO) — Offered in FL: Lake, Marion, Orange, Osceola, Seminole, Sumter
- CareFree Platinum Giveback (HMO) — Offered in FL: Lake, Marion, Orange, Osceola, Seminole, Sumter
- CareFree Platinum Giveback (HMO-POS) — Offered in FL: Broward, Palm Beach
- CareNeeds Extra (HMO D-SNP) — Offered in FL: Brevard
- CareNeeds Platinum (HMO D-SNP) — Offered in FL: 17 counties
- CareNeeds Plus (HMO D-SNP) — Offered in FL: 17 counties
- CareOne Plus (HMO) — Offered in FL: Clay, Duval, Flagler, St. Johns, Volusia
- CareOne Plus (HMO-POS) — Offered in FL: Lake, Marion, Orange, Osceola, Seminole, Sumter
- CareOne Plus Local (HMO-POS) — Offered in FL: Lake, Marion, Sumter
Essence Healthcare
7 plans on this site
- Essence Advantage (HMO) — Offered in IN: Clark, Crawford, Floyd, Harrison, Jefferson, Ripley, Scott, Switzerland, Washington; KY: 21 counties
- Essence Advantage Choice (PPO) — Offered in IN: Clark, Crawford, Floyd, Harrison, Jefferson, Ripley, Scott, Switzerland, Washington; KY: 21 counties
- Essence Advantage Choice Plus (PPO) — Offered in IL: Cook, DuPage, Will
- Essence Advantage Plus (HMO) — Offered in IL: Bond, Calhoun, Clinton, Jersey, Macoupin, Madison, Monroe, Montgomery, St. Clair, Washington; MO: 11 counties
- Essence Advantage Premier Plus (PPO) — Offered in IL: Bond, Clinton, Jersey, Macoupin, Madison, Monroe, St. Clair; MO: 11 counties
- Essence Advantage Prime (HMO) — Offered in MO: Chariton, Maries, Miller, Morgan, Osage, Randolph, Reynolds
- Essence Advantage Select (HMO) — Offered in IL: Bond, Calhoun, Clinton, Jersey, Macoupin, Madison, Monroe, Montgomery, St. Clair, Washington; MO: 13 counties
HAP CareSource MI Coordinated Health
1 plan on this site
- HAP CareSource MI Coordinated Health (HMO D-SNP) — Offered in MI: Macomb, Wayne
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
HealthTeam Advantage
4 plans on this site
- HealthTeam Advantage Plan I (PPO) — Offered in NC: 12 counties
- HealthTeam Advantage Plan II (PPO) — Offered in NC: 12 counties
- HealthTeam Advantage Thrive Plan (HMO) — Offered in NC: Alamance, Davidson, Davie, Forsyth, Guilford, Randolph, Rockingham
- HealthTeam Advantage Vitality Plan (PPO) — Offered in NC: 33 counties
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
Humana
35 plans on this site
- Humana Community HMO Diabetes and Heart (HMO C-SNP) — Offered in FL: Lake, Marion, Sumter
- Humana Dual Integrated (PPO D-SNP) — Offered in FL: 36 counties
- Humana Dual Select H1036-077 (HMO D-SNP) — Offered in FL: Broward, Miami-Dade, Palm Beach
- Humana Dual Select H1036-102 (HMO D-SNP) — Offered in FL: Citrus, Hardee, Hernando, Highlands, Hillsborough, Manatee, Pasco, Pinellas, Polk, Sarasota
- Humana Dual Select H1036-209 (HMO D-SNP) — Offered in FL: Flagler, Volusia
- Humana Dual Select H1036-210 (HMO D-SNP) — Offered in FL: Alachua, Baker, Bradford, Clay, Columbia, Duval, Nassau, Putnam, St. Johns
- Humana Dual Select H1036-213 (HMO D-SNP) — Offered in FL: Lake, Marion, Orange, Osceola, Seminole, Sumter
- Humana Dual Select H1036-214 (HMO D-SNP) — Offered in FL: Escambia, Santa Rosa, Walton
- Humana Dual Select H1036-285 (HMO D-SNP) — Offered in FL: Charlotte, Collier, DeSoto, Lee
- Humana Dual Select H1036-304 (HMO D-SNP) — Offered in FL: Broward, Miami-Dade, Palm Beach
- Humana Dual Select H1036-314 (HMO D-SNP) — Offered in FL: 36 counties
- Humana Dual Select H5216-394 (PPO D-SNP) — Offered in FL: 56 counties
- Humana Dual Select H7284-010 (PPO D-SNP) — Offered in FL: Broward, Glades, Indian River, Martin, Miami-Dade, Okeechobee, Palm Beach, St. Lucie
- Humana Fully Integrated H1036-280 (HMO D-SNP) — Offered in FL: 21 counties
- Humana Gold Plus Giveback H1036-157 (HMO) — Offered in FL: Flagler, Volusia
- Humana Gold Plus Giveback H1036-265 (HMO) — Offered in FL: Citrus, Hardee, Hernando, Highlands, Hillsborough, Pasco, Pinellas
- Humana Gold Plus Giveback H1036-266 (HMO) — Offered in FL: Citrus, Hardee, Highlands, Polk
- Humana Gold Plus Giveback H1036-269 (HMO) — Offered in FL: Lake, Marion, Orange, Osceola, Seminole, Sumter
- Humana Gold Plus Giveback H1036-270 (HMO) — Offered in FL: Alachua, Baker, Bradford, Clay, Columbia, Duval, Nassau, Putnam, St. Johns
- Humana Gold Plus Giveback H1036-278 (HMO) — Offered in FL: Charlotte, Collier, DeSoto, Lee
- Humana Gold Plus Giveback H1036-305 (HMO) — Offered in FL: Broward, Miami-Dade, Palm Beach
- Humana Gold Plus H1036-025 (HMO) — Offered in FL: Hernando, Hillsborough, Pasco, Pinellas
- Humana Gold Plus H1036-044 (HMO) — Offered in FL: Flagler, Volusia
- Humana Gold Plus H1036-054C (HMO) — Offered in FL: Miami-Dade
- Humana Gold Plus H1036-062C (HMO) — Offered in FL: Palm Beach
- Humana Gold Plus H1036-065C (HMO) — Offered in FL: Broward
- Humana Gold Plus H1036-068 (HMO) — Offered in FL: Alachua, Baker, Bradford, Clay, Columbia, Duval, Nassau, Putnam, St. Johns
- Humana Gold Plus H1036-074 (HMO) — Offered in FL: Citrus, Manatee, Sarasota
- Humana Gold Plus H1036-143 (HMO) — Offered in FL: Bay, Escambia, Okaloosa, Santa Rosa, Walton
- Humana Gold Plus H1036-146 (HMO) — Offered in FL: Lake, Marion, Orange, Osceola, Seminole, Sumter
- Humana Gold Plus H1036-217 (HMO) — Offered in FL: Charlotte, Collier, DeSoto, Lee
- Humana Gold Plus H1036-230 (HMO) — Offered in FL: Hardee, Highlands, Polk
- Humana Gold Plus Lung (HMO C-SNP) — Offered in FL: Citrus, Hardee, Hernando, Highlands, Hillsborough, Manatee, Pasco, Pinellas, Polk, Sarasota
- Humana PathWays Dual Care (HMO-POS D-SNP) — Offered in IN: 92 counties
- Humana PathWays Dual Care NFLOC (HMO-POS D-SNP) — Offered in IN: 92 counties
Jefferson Health Plans
3 plans on this site
- Jefferson Health Plans Complete (HMO) — Offered in PA: 20 counties
- Jefferson Health Plans Elite (HMO) — Offered in NJ: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer, Salem
- Jefferson Health Plans Prime (HMO) — Offered in PA: 20 counties
Medica
1 plan on this site
- Medica DUAL Solution (HMO D-SNP) — Offered in MN: 54 counties
SCAN Health Plan
32 plans on this site
- CareMore Health Plan by SCAN (HMO) — Offered in CA: Los Angeles, Orange
- SCAN Allied (HMO) — Offered in CA: San Francisco, San Mateo
- SCAN Alta (HMO) — Offered in CA: San Diego
- SCAN Ansim Care (HMO C-SNP) — Offered in CA: Los Angeles, Orange
- SCAN Baekse (HMO) — Offered in CA: Los Angeles, Orange
- SCAN Balance (HMO C-SNP) — Offered in CA: Fresno, Kings, Madera, Tulare
- SCAN Balance Texas (HMO C-SNP) — Offered in TX: Bexar, Chambers, Fort Bend, Harris, Liberty, Montgomery
- SCAN Classic (HMO) — Offered in CA: Fresno, Kings, Madera, Tulare
- SCAN Classic Texas (HMO) — Offered in TX: Bexar, Chambers, Fort Bend, Harris, Liberty, Montgomery
- SCAN Classic WA (HMO) — Offered in WA: Pierce, Spokane, Thurston
- SCAN Connections (HMO D-SNP) — Offered in CA: Los Angeles, Riverside, San Bernardino, San Diego
- SCAN Connections at Home (HMO D-SNP) — Offered in CA: Los Angeles, Riverside, San Bernardino, San Diego
- SCAN Costco Medicare Advantage (HMO) — Offered in CA: Placer, Sacramento, San Joaquin, Yolo
- SCAN Desert Choice (HMO) — Offered in CA: Riverside
- SCAN Embrace (HMO I-SNP) — Offered in CA: Los Angeles
- SCAN Embrace (HMO-POS I-SNP) — Offered in AZ: Maricopa, Pima
- SCAN Embrace Together (HMO I-SNP) — Offered in CA: Los Angeles, Orange
- SCAN Embrace Together (HMO-POS I-SNP) — Offered in AZ: Maricopa, Pima
- SCAN Essential Savings (HMO) — Offered in CA: Los Angeles
- SCAN Inclusive (HMO) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino
- SCAN Inspired by women for women (HMO) — Offered in CA: Los Angeles, Orange
- SCAN MyChoice (HMO) — Offered in AZ: Maricopa, Pima, Pinal
- SCAN Prime (HMO) — Offered in CA: Los Angeles, Orange, San Bernardino
- SCAN Select (HMO) — Offered in CA: San Diego
- SCAN Strive (HMO C-SNP) — Offered in CA: 14 counties
- SCAN Venture (HMO) — Offered in CA: Los Angeles, Orange
- SCAN Walmart Health Advantage (HMO) — Offered in TX: Bexar, Chambers, Fort Bend, Harris, Liberty, Montgomery
- SCAN Walmart Medicare Advantage (HMO) — Offered in AZ: Maricopa, Pima, Pinal
- SCAN Walmart Medicare Complete (HMO C-SNP) — Offered in TX: Bexar, Chambers, Fort Bend, Harris, Liberty, Montgomery
- Springs Advantage, a SCAN Medicare Plan (HMO-POS I-SNP) — Offered in OR: Clackamas, Washington
- Springs Together, a SCAN Medicare Plan (HMO-POS I-SNP) — Offered in OR: Clackamas, Washington
- Sutter Senior Advantage, a SCAN Medicare Plan (HMO) — Offered in CA: Placer, Sacramento, Yolo
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
The Health Plan
4 plans on this site
- The Health Plan SecureCare - Option II (HMO) — Offered in OH: 69 counties
- The Health Plan SecureCare SNP (HMO D-SNP) — Offered in WV: 55 counties
- The Health Plan SecureChoice Optimum (PPO) — Offered in OH: 77 counties
- The Health Plan SecureChoice Reliance (PPO) — Offered in WV: 55 counties
UPMC for Life
11 plans on this site
- UPMC for Life Essential Rx (PPO) — Offered in PA: 34 counties
- UPMC for Life HMO Deductible Rx (HMO) — Offered in OH: Harrison, Jefferson; PA: 17 counties
- UPMC for Life HMO Premier Rx (HMO) — Offered in PA: 18 counties
- UPMC for Life HMO Rx (HMO) — Offered in OH: Harrison, Jefferson; PA: 31 counties
- UPMC for Life HMO Rx Choice (HMO) — Offered in PA: 18 counties
- UPMC for Life HMO Rx Enhanced (HMO) — Offered in OH: Harrison, Jefferson; PA: 39 counties
- UPMC for Life PPO High Deductible Rx (PPO) — Offered in PA: 17 counties
- UPMC for Life PPO Premier Rx (PPO) — Offered in PA: 13 counties
- UPMC for Life PPO Rx Choice (PPO) — Offered in PA: Armstrong, Beaver, Fayette, Greene, Lawrence, Washington
- UPMC for Life PPO Rx Enhanced (PPO) — Offered in PA: 18 counties
- UPMC for Life Preferred Rx (HMO) — Offered in PA: Butler, Clarion, Westmoreland
UPMC for Life Complete Care
1 plan on this site
- UPMC for Life Complete Care (HMO D-SNP) — Offered in PA: 26 counties
Upper Peninsula Health Plan (UPHP) MI Coordinated Health
1 plan on this site
- Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) — Offered in MI: 15 counties
VillageHealth
2 plans on this site
- SCAN DaVita Dialysis Care (HMO-POS C-SNP) — Offered in CA: Orange, Riverside, San Bernardino
- SCAN DaVita Dialysis Care Complete (HMO-POS C-SNP) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino
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