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Home › Medications › Hydroxyurea (Hydrea, Droxia, Siklos, and others) › Tier 3 plans

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Medications

Hydroxyurea (Hydrea, Droxia, Siklos, and others) — plans on this site that list it on Tier 3

344 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.

AHF

1 plan on this site

AMH Health

5 plans on this site

AgeRight Advantage

3 plans on this site

Align Senior Care

3 plans on this site

Align powered by Sanford Health Plan

2 plans on this site

AlohaCare

1 plan on this site

AmeriHealth Caritas VIP Care (HMO-D-SNP)

1 plan on this site

Anthem Blue Cross

2 plans on this site

Anthem Blue Cross Partnership Plan

1 plan on this site

Anthem Blue Cross and Blue Shield

24 plans on this site

Anthem Blue Cross and Blue Shield HP

2 plans on this site

Anthem HealthKeepers

5 plans on this site

Banner Medicare Advantage

1 plan on this site

Blue Cross Blue Shield of Arizona (AZ Blue)

3 plans on this site

Blue Cross Blue Shield of South Carolina

2 plans on this site

Blue Cross and Blue Shield of Louisiana

8 plans on this site

Blue Cross and Blue Shield of North Carolina

5 plans on this site

Blue Shield of California

9 plans on this site

BlueCare Plus Tennessee

3 plans on this site

BlueCross BlueShield of Tennessee

8 plans on this site

Capital Blue Cross

6 plans on this site

Clover Health

8 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 Plan of WA Medicare Advantage

2 plans on this site

CommunityCare Senior Health Plan (HMO)

4 plans on this site

Dean Advantage

4 plans on this site

El Paso Health Medicare Advantage

4 plans on this site

Essence Healthcare

7 plans on this site

First Choice VIP Care (HMO D-SNP)

1 plan on this site

Freedom Health, Inc.

10 plans on this site

Georgia Health Advantage

1 plan on this site

Great Plains Medicare Advantage

3 plans on this site

Group Health Cooperative of Eau Claire

2 plans on this site

HAP CareSource MI Coordinated Health

1 plan on this site

Health First Health Plans, Inc.

6 plans on this site

Health New England Medicare Advantage Plans

6 plans on this site

HealthSpring

15 plans on this site

HealthTeam Advantage

4 plans on this site

Healthy Arkansas, Inc.

3 plans on this site

Healthy Blue

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

KelseyCare Advantage

2 plans 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

Mass General Brigham Health Plan

3 plans on this site

Medica

6 plans on this site

Medical Mutual of Ohio

10 plans on this site

Medicare y Mucho Mas (MMM)

16 plans on this site

MultiCare Health Plan Medicare Advantage Evergreen Plans

2 plans on this site

MyAdvocate Medicare Advantage

2 plans on this site

NHC Advantage

1 plan on this site

Native Advantage

1 plan on this site

Network Health Medicare Advantage Plans

7 plans 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

PrimeTime Health Plan

3 plans on this site

ProCare Advantage

3 plans on this site

PruittHealth Premier

3 plans on this site

Quartz Medicare Advantage (HMO)

14 plans on this site

SECUR Health Plan

2 plans on this site

Samaritan Advantage Health Plans

1 plan on this site

Security Health Plan of Wisconsin, Inc.

4 plans on this site

Simpra Advantage

1 plan on this site

South Country Health Alliance

2 plans on this site

The Health Plan

4 plans on this site

Tufts Health Plan

6 plans on this site

Ultimate Health Plans

5 plans on this site

Upper Peninsula Health Plan (UPHP) MI Coordinated Health

1 plan on this site

VISTA Health Plan Inc.

2 plans on this site

VNS Health Medicare

2 plans on this site

Wellpoint

19 plans on this site

eternalHealth

6 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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