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Medications
Interferon beta-1a (Avonex) — plans on this site that list it on Tier 4
9 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.
AHF
1 plan on this site
- PHP (HMO C-SNP) — Offered in CA: Los Angeles
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
Sentara Medicare
2 plans on this site
- Sentara Community Complete (HMO D-SNP) — Offered in VA: 133 counties
- Sentara Community Complete Select (HMO D-SNP) — Offered in VA: 133 counties
VNS Health Medicare
2 plans on this site
- VNS Health EasyCare Plus (HMO D-SNP) — Offered in NY: 20 counties
- VNS Health Total (HMO D-SNP) — Offered in NY: 20 counties
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
