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Home › Medications › Hydroxyurea (Hydrea, Droxia, Siklos, and others) › Tier 4 plans

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Medications

Hydroxyurea (Hydrea, Droxia, Siklos, and others) — plans on this site that list it on Tier 4

2407 plans published on this site list this drug on Tier 4, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.

Aetna Medicare

121 plans on this site

Allina Health Aetna Medicare

7 plans on this site

Alterwood Advantage

4 plans on this site

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

1 plan on this site

Arkansas Blue Medicare

3 plans on this site

Blue Care Network

4 plans on this site

Blue Cross Blue Shield of Massachusetts

7 plans on this site

Blue Cross Blue Shield of Michigan

8 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

CareFirst BlueCross BlueShield Advantage DualPrime

1 plan on this site

CareFirst BlueCross BlueShield Medicare Advantage

3 plans on this site

CareOregon Advantage

1 plan on this site

CarePlus Health Plans, Inc.

17 plans on this site

Clever Care Health Plan

6 plans on this site

Devoted Health

711 plans on this site

Doctors HealthCare Plans, Inc.

9 plans on this site

Elderplan

1 plan on this site

Elevate Medicare Advantage

1 plan on this site

Excellus Health Plan Community Care LLC

4 plans on this site

Excellus Health Plan, Inc

14 plans on this site

Fallon Health

3 plans on this site

Gold Kidney Health Plan

4 plans on this site

HMSA Akamai Advantage

5 plans on this site

HealthSun Health Plans, Inc.

6 plans on this site

Healthfirst Medicare Plan

6 plans on this site

Humana

486 plans on this site

Independence Blue Cross

8 plans on this site

Independent Health

3 plans on this site

Itasca Medical Care/IMCare Classic

1 plan on this site

Johns Hopkins Advantage MD

5 plans on this site

Kaiser Permanente

110 plans on this site

MVP HEALTH CARE

7 plans on this site

Martin's Point Generations Advantage

3 plans on this site

MediGold

8 plans on this site

MetroPlus Health Plan

1 plan on this site

Molina Healthcare of Illinois

1 plan on this site

Molina Healthcare of Massachusetts

3 plans on this site

Molina Healthcare of Michigan

1 plan on this site

Molina Healthcare of Ohio

2 plans on this site

Molina Healthcare of Texas, Inc.

1 plan on this site

Molina Healthcare of Washington, Inc.

1 plan on this site

Molina Healthcare of Wisconsin

2 plans on this site

Neighborhood Health Plan of Rhode Island

2 plans on this site

PacificSource Medicare

5 plans on this site

Passport Advantage

1 plan on this site

Peoples Health

11 plans on this site

Prominence Health Plan

11 plans on this site

Senior Whole Health of New York

2 plans on this site

Simply Healthcare Plans, Inc.

2 plans on this site

SummaCare Medicare Advantage Plans

5 plans on this site

Trinity Health Plan New York

2 plans on this site

Trinity Health Plan of Michigan

3 plans on this site

Triple-S Advantage

6 plans on this site

UnitedHealthcare

696 plans on this site

VIVA Medicare

5 plans on this site

VillageCareMAX

2 plans on this site

Wellpoint

11 plans on this site

WyoBlue Advantage

2 plans on this site

Zing Health

36 plans on this site

iCare

1 plan 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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