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Home › Medications › Dalfampridine extended-release (Ampyra and others) › Tier 2 plans

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Dalfampridine extended-release (Ampyra and others) — plans on this site that list it on Tier 2

362 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.

AgeRight Advantage

3 plans on this site

Align Senior Care

3 plans on this site

Alterwood Advantage

4 plans on this site

Aspire Health

4 plans on this site

BayCare Health Plans

2 plans on this site

Blue Cross Blue Shield of Massachusetts

7 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

CareOregon Advantage

1 plan on this site

CenCal CareConnect

1 plan on this site

Champion Heath Plan

10 plans on this site

Clever Care Health Plan

6 plans on this site

Communicare Advantage

1 plan on this site

Community First

3 plans on this site

Community Health Choice

2 plans on this site

Community Health Group

2 plans on this site

Community Health Plan of Imperial Valley

1 plan on this site

CommunityCare Senior Health Plan (HMO)

4 plans 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

24 plans on this site

El Paso Health Medicare Advantage

4 plans on this site

Elevate Medicare Advantage

2 plans on this site

Elite Health Plan, Inc.

2 plans on this site

Freedom Health, Inc.

10 plans on this site

Geisinger Gold

9 plans on this site

Georgia Health Advantage

1 plan on this site

Gold Kidney Health Plan

4 plans on this site

Health Alliance Plan by Henry Ford Health

12 plans on this site

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

1 plan on this site

Johns Hopkins Advantage MD

3 plans on this site

Kaiser Permanente

110 plans on this site

Kern Family Health Care Medicare (D-SNP)

1 plan on this site

KeyCare Advantage

2 plans on this site

L.A. Care Health Plan

1 plan on this site

Liberty Medicare Advantage

1 plan on this site

Lifeworks Advantage

1 plan on this site

Martin's Point Generations Advantage

1 plan on this site

MultiCare Health Plan Medicare Advantage Evergreen Plans

2 plans on this site

MyTruAdvantage

3 plans on this site

NHC Advantage

1 plan on this site

Native Advantage

1 plan on this site

Optimum HealthCare, Inc.

11 plans on this site

Peak Health

3 plans on this site

Perennial Advantage

4 plans on this site

Presbyterian Health Plan

1 plan on this site

ProCare Advantage

3 plans on this site

Prominence Health Plan

11 plans on this site

PruittHealth Premier

3 plans on this site

SECUR Health Plan

2 plans on this site

San Francisco Health Plan

1 plan on this site

Santa Clara Family Health Plan

1 plan on this site

Sentara Medicare

2 plans on this site

Simpra Advantage

1 plan on this site

SummaCare Medicare Advantage Plans

5 plans on this site

Triple-S Advantage

6 plans on this site

Troy Medicare

2 plans on this site

UCLA Health Medicare Advantage Plan

2 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

Zing Health

30 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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