Medications
Cevimeline (Evoxac) — plans on this site that list it on Tier 3
87 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.
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
Excellus Health Plan Community Care LLC
4 plans on this site
- Medicare Blue Dual (HMO D-SNP) — Offered in NY: 11 counties
- Medicare Blue Dual Secure (HMO D-SNP) — Offered in NY: 11 counties
- Univera Medicare Dual (HMO D-SNP) — Offered in NY: Erie, Orleans
- Univera Medicare Total Care (HMO D-SNP) — Offered in NY: Erie, Orleans
Excellus Health Plan, Inc
14 plans on this site
- Medicare Blue Choice 024 (HMO) — Offered in NY: Cayuga, Oneida, Onondaga, Oswego
- Medicare Blue Choice 025 (HMO-POS) — Offered in NY: Cayuga, Oneida, Onondaga, Oswego
- Medicare Blue Choice 026 (HMO-POS) — Offered in NY: Cayuga, Oneida, Onondaga, Oswego
- Medicare Blue Choice 028 (HMO) — Offered in NY: 13 counties
- Medicare Blue Choice 029 (HMO-POS) — Offered in NY: 13 counties
- Medicare Blue Choice 030 (HMO-POS) — Offered in NY: 13 counties
- Medicare Blue Choice 032 (HMO-POS) — Offered in NY: Clinton, Delaware, Essex, Franklin, Fulton, Hamilton, Montgomery, Otsego
- Medicare Blue Choice Core (HMO) — Offered in NY: Livingston, Monroe, Ontario, Seneca, Wayne, Yates
- Medicare Blue Choice Optimum (HMO-POS) — Offered in NY: Livingston, Monroe, Ontario, Seneca, Wayne, Yates
- Medicare Blue Choice Prime (HMO-POS) — Offered in NY: Livingston, Monroe, Ontario, Seneca, Wayne, Yates
- Univera SeniorChoice Advanced (HMO-POS) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Univera SeniorChoice Basic (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Univera SeniorChoice Secure (HMO-POS) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Univera SeniorChoice Value Plus (HMO-POS) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
Fallon Health
3 plans on this site
- Fallon Medicare Plus Blue (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
- Fallon Medicare Plus Green (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
- Fallon Medicare Plus Orange (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
Health Alliance Plan by Henry Ford Health
12 plans on this site
- HAP Medicare Complete Assist (PPO D-SNP) — Offered in MI: 40 counties
- HAP Medicare Complete Duals (HMO D-SNP) — Offered in MI: 39 counties
- HAP Medicare Connect (HMO) — Offered in MI: 61 counties
- HAP Medicare Diabetes and Heart (HMO C-SNP) — Offered in MI: 61 counties
- HAP Medicare Explore (PPO) — Offered in MI: 60 counties
- HAP Medicare Prime (PPO) — Offered in MI: 60 counties
- HAP Medicare Superior (HMO) — Offered in MI: 61 counties
- HAP Member Assist (PPO) — Offered in MI: 60 counties
- HAP Senior Plus (HMO-POS) — Offered in MI: 61 counties
- HAP Senior Plus (PPO) — Offered in MI: 60 counties
- HAP Senior Plus Henry Ford Tiered Access (HMO) — Offered in MI: Genesee, Hillsdale, Jackson, Lapeer, Macomb, Oakland, Wayne
- Henry Ford Select (HMO) — Offered in MI: Genesee, Hillsdale, Jackson, Lapeer, Macomb, Oakland, Wayne
Independent Health
3 plans on this site
- Independent Health's Assure Advantage (HMO C-SNP) — Offered in NY: Erie
- 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
Leon Health, Inc.
4 plans on this site
- Leon MediDual (HMO D-SNP) — Offered in FL: Miami-Dade
- Leon MediExtra (HMO) — Offered in FL: Miami-Dade
- Leon MediMax (HMO D-SNP) — Offered in FL: Miami-Dade
- Leon MediMore (HMO) — Offered in FL: Miami-Dade
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
Network Health Medicare Advantage Plans
7 plans on this site
- Network Health Anywhere (PPO) — Offered in WI: Kenosha, Milwaukee, Ozaukee, Racine, Washington, Waukesha
- Network Health Cares (PPO D-SNP) — Offered in WI: 24 counties
- Network Health Choice (PPO) — Offered in WI: 21 counties
- Network Health Go (PPO) — Offered in WI: Milwaukee, Ozaukee, Racine, Washington, Waukesha
- Network Health PlusRx (PPO) — Offered in WI: 21 counties
- Network Health PremierRx (PPO) — Offered in WI: 21 counties
- Network Health Select (PPO) — Offered in WI: 21 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
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