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Home › Medications › Chlorhexidine gluconate (Peridex, Periogard, and others) › Tier 2 plans

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Medications

Chlorhexidine gluconate (Peridex, Periogard, and others) — plans on this site that list it on Tier 2

261 plans published on this site list this drug on Tier 2, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.

AmeriHealth

2 plans on this site

Anthem Blue Cross

5 plans on this site

Anthem Blue Cross Partnership Plan

4 plans on this site

Anthem HealthKeepers

2 plans on this site

Astiva Health

8 plans on this site

BayCare Health Plans

2 plans on this site

Blue Care Network

4 plans on this site

Blue Cross & Blue Shield of Rhode Island

5 plans on this site

Blue Cross Blue Shield of Arizona (AZ Blue)

1 plan on this site

Blue Cross Blue Shield of Michigan

8 plans on this site

Blue Cross and Blue Shield of Alabama

1 plan on this site

Blue Cross and Blue Shield of Minnesota

3 plans on this site

Blue Cross and Blue Shield of Nebraska

3 plans on this site

Blue Cross of Idaho

6 plans on this site

Blue Shield of California

9 plans on this site

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

Capital Blue Cross

6 plans on this site

Capital Health Plan

2 plans on this site

EmblemHealth

5 plans on this site

Excellus Health Plan Community Care LLC

4 plans on this site

Excellus Health Plan, Inc

14 plans on this site

Florida Blue

2 plans on this site

Florida Blue HMO

6 plans on this site

Florida Complete Care

3 plans on this site

Geisinger Gold

9 plans on this site

Health Alliance Plan by Henry Ford Health

12 plans on this site

Healthy Arkansas, Inc.

3 plans on this site

Healthy Mississippi, Inc.

4 plans on this site

Highmark Blue Cross Blue Shield

2 plans on this site

Highmark Wholecare Medicare Assured

2 plans on this site

Imperial Health Plan of California, Inc.

3 plans on this site

Independence Blue Cross

8 plans on this site

Independent Health

6 plans on this site

L.A. Care Health Plan

1 plan on this site

Medicare y Mucho Mas (MMM)

16 plans on this site

Presbyterian Health Plan

1 plan on this site

PrimeTime Health Plan

3 plans on this site

Priority Health Medicare

12 plans on this site

Range Health

4 plans on this site

SCAN Health Plan

32 plans on this site

Samaritan Advantage Health Plans

1 plan on this site

Select Health

4 plans on this site

St. Luke's Health Plan

3 plans on this site

UPMC for Life

11 plans on this site

UPMC for Life Complete Care

1 plan on this site

VillageHealth

2 plans on this site

Wellpoint

11 plans on this site

WyoBlue Advantage

2 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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