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Medications
Levomilnacipran (Fetzima) — plans on this site that list it on Tier 2
98 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.
HEALTH PLAN OF SAN MATEO
1 plan on this site
- CareAdvantage (HMO D-SNP) — Offered in CA: San Mateo
Wellcare
97 plans on this site
- Wellcare Absolute Total Care Dual Align (HMO D-SNP) — Offered in SC: 46 counties
- Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP) — Offered in AZ: Apache, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Yavapai
- Wellcare Arkansas Total Care Dual Access (HMO-POS D-SNP) — Offered in AR: 75 counties
- Wellcare Arkansas Total Care Dual Liberty (HMO-POS D-SNP) — Offered in AR: 75 counties
- Wellcare Arkansas Total Care Dual Reserve (HMO-POS D-SNP) — Offered in AR: 75 counties
- Wellcare Assist (HMO-POS) — Offered in GA: 141 counties
- Wellcare Assist Open (PPO) — Offered in NC: 70 counties
- Wellcare Buckeye Health Dual Access (HMO D-SNP) — Offered in OH: 88 counties
- Wellcare Buckeye Health Dual Reserve (HMO D-SNP) — Offered in OH: 88 counties
- Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) — Offered in OH: 88 counties
- Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP) — Offered in OH: 88 counties
- Wellcare CalViva Health Dual Align (HMO D-SNP) — Offered in CA: Fresno, Kings, Madera
- Wellcare Carolina Complete Dual Liberty (HMO-POS D-SNP) — Offered in NC: 71 counties
- Wellcare Carolina Complete Dual Liberty Open (PPO D-SNP) — Offered in NC: 70 counties
- Wellcare Carolina Complete Dual Reserve (HMO-POS D-SNP) — Offered in NC: 71 counties
- Wellcare Coordinated Care Dual Access (HMO-POS D-SNP) — Offered in WA: 39 counties
- Wellcare Coordinated Care Dual Liberty Sync (HMO D-SNP) — Offered in WA: 39 counties
- Wellcare Delaware First Health Dual Align (HMO-POS D-SNP) — Offered in DE: Kent, New Castle, Sussex
- Wellcare Delaware First Health Dual Select (HMO-POS D-SNP) — Offered in DE: Kent, New Castle, Sussex
- Wellcare Dual Access (HMO-POS D-SNP) — Offered in KY: 120 counties
- Wellcare Dual Access Open (PPO D-SNP) — Offered in NY: 50 counties
- Wellcare Dual Access Sync Open (PPO D-SNP) — Offered in KY: 120 counties
- Wellcare Dual Liberty (HMO D-SNP) — Offered in CT: Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham
- Wellcare Dual Liberty (HMO-POS D-SNP) — Offered in ME: 16 counties
- Wellcare Dual Liberty Sync (HMO-POS D-SNP) — Offered in KY: 120 counties
- Wellcare Dual Reserve (HMO-POS D-SNP) — Offered in KY: 120 counties
- Wellcare Fidelis Assist (HMO-POS) — Offered in NY: 58 counties
- Wellcare Fidelis Dual Access (HMO D-SNP) — Offered in NY: 52 counties
- Wellcare Fidelis Dual Align (HMO D-SNP) — Offered in NJ: 20 counties
- Wellcare Fidelis Dual Align Unity (HMO D-SNP) — Offered in NY: 60 counties
- Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) — Offered in NY: 52 counties
- Wellcare Fidelis Simple (HMO-POS) — Offered in NY: 58 counties
- Wellcare Giveback (HMO) — Offered in IL: 101 counties
- Wellcare Giveback (HMO-POS) — Offered in GA: 141 counties
- Wellcare Giveback Open (PPO) — Offered in IN: 90 counties
- Wellcare Health Net Dual Align (HMO D-SNP) — Offered in CA: Amador, Calaveras, Inyo, Mono, Sacramento, San Joaquin, Stanislaus, Tulare, Tuolumne
- Wellcare Health Net Dual Liberty (HMO D-SNP) — Offered in CA: Imperial, Kern, Orange, Placer, Riverside, San Bernardino, San Diego, San Francisco
- Wellcare Home State Health Dual Access (HMO-POS D-SNP) — Offered in MO: 49 counties
- Wellcare Home State Health Dual Access Open (PPO D-SNP) — Offered in MO: 58 counties
- Wellcare Home State Health Dual Reserve (HMO-POS D-SNP) — Offered in MO: 49 counties
- Wellcare Iowa Total Care Dual Access (HMO-POS D-SNP) — Offered in IA: 76 counties
- Wellcare Iowa Total Care Dual Liberty Sync (HMO-POS D-SNP) — Offered in IA: 76 counties
- Wellcare Iowa Total Care Dual Reserve (HMO-POS D-SNP) — Offered in IA: 76 counties
- Wellcare Louisiana Connections Dual Access (HMO-POS D-SNP) — Offered in LA: 26 counties
- Wellcare Louisiana Connections Dual Liberty (HMO-POS D-SNP) — Offered in LA: 26 counties
- Wellcare Louisiana Connections Dual Reserve (HMO-POS D-SNP) — Offered in LA: 48 counties
- Wellcare Low Premium (HMO) — Offered in CA: Imperial, Riverside, San Bernardino, San Diego
- Wellcare Low Premium (HMO-POS) — Offered in MS: 55 counties
- Wellcare Low Premium Focus (HMO) — Offered in CA: Imperial, San Diego
- Wellcare Low Premium Open (PPO) — Offered in ME: 15 counties
- Wellcare Low Premium Value Open (PPO) — Offered in OR: Lane, Linn, Yamhill
- Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP) — Offered in WI: 28 counties
- Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP) — Offered in WI: 28 counties
- Wellcare Magnolia Health Dual Access (HMO-POS D-SNP) — Offered in MS: 42 counties
- Wellcare Magnolia Health Dual Access Open (PPO D-SNP) — Offered in MS: 51 counties
- Wellcare Magnolia Health Dual Liberty (HMO-POS D-SNP) — Offered in MS: 55 counties
- Wellcare Magnolia Health Dual Reserve (HMO-POS D-SNP) — Offered in MS: 55 counties
- Wellcare Meridian Dual Align (HMO D-SNP) — Offered in IL: 102 counties
- Wellcare Meridian Health Dual Access (HMO-POS D-SNP) — Offered in MI: 28 counties
- Wellcare Meridian Health Dual Liberty (HMO D-SNP) — Offered in MI: 51 counties
- Wellcare Nebraska Total Care Dual Liberty Sync (HMO-POS D-SNP) — Offered in NE: 66 counties
- Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP) — Offered in PA: 65 counties
- Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP) — Offered in PA: 65 counties
- Wellcare PeaceHealth Simple (HMO-POS) — Offered in OR: Lane
- Wellcare Peach State Health Plan Dual Access (HMO-POS D-SNP) — Offered in GA: 141 counties
- Wellcare Peach State Health Plan Dual Access Open (PPO D-SNP) — Offered in GA: 141 counties
- Wellcare Peach State Health Plan Dual Liberty (HMO-POS D-SNP) — Offered in GA: 141 counties
- Wellcare Peach State Health Plan Dual Reserve (HMO-POS D-SNP) — Offered in GA: 141 counties
- Wellcare Premium Enhanced Open (PPO) — Offered in OR: Clackamas, Douglas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill; WA: Clark
- Wellcare Premium Ultra Open (PPO) — Offered in OR: Clackamas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
- Wellcare SilverSummit Healthplan Dual Access (HMO-POS D-SNP) — Offered in NV: Carson City, Churchill, Clark, Douglas, Lyon, Mineral, Nye, Storey, Washoe
- Wellcare SilverSummit Healthplan Dual Liberty (HMO-POS D-SNP) — Offered in NV: Carson City, Churchill, Clark, Douglas, Lyon, Mineral, Nye, Storey, Washoe
- Wellcare Simple (HMO) — Offered in TX: 29 counties
- Wellcare Simple (HMO-POS) — Offered in KY: 120 counties
- Wellcare Simple Essential (HMO) — Offered in IL: 101 counties
- Wellcare Simple Exclusive (HMO) — Offered in IL: Cook, Kane, Will
- Wellcare Simple Exclusive Value (HMO-POS) — Offered in IL: Cook, Kane, Will
- Wellcare Simple Focus (HMO) — Offered in CA: Los Angeles, Orange
- Wellcare Simple Open (PPO) — Offered in GA: 141 counties
- Wellcare Simple Value (HMO) — Offered in TX: 65 counties
- Wellcare Simple Value (HMO-POS) — Offered in IL: 90 counties
- Wellcare Specialty Simple (HMO C-SNP) — Offered in CA: Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego
- Wellcare Specialty Simple Focus (HMO C-SNP) — Offered in CA: San Francisco
- Wellcare Sunflower Health Plan Dual Access (HMO-POS D-SNP) — Offered in KS: 53 counties
- Wellcare Sunflower Health Plan Dual Liberty Sync (HMO-POS D-SNP) — Offered in KS: 53 counties
- Wellcare Sunshine Health Dual Access (HMO-POS D-SNP) — Offered in FL: 20 counties
- Wellcare Sunshine Health Dual Align (HMO D-SNP) — Offered in FL: 20 counties
- Wellcare Sunshine Health Dual Align Unity (HMO D-SNP) — Offered in FL: 11 counties
- Wellcare Sunshine Health Dual Reserve (HMO-POS D-SNP) — Offered in FL: 25 counties
- Wellcare Superior HealthPlan Dual Access (HMO D-SNP) — Offered in TX: 94 counties
- Wellcare Superior HealthPlan Dual Align (HMO D-SNP) — Offered in TX: Dallas
- Wellcare Superior HealthPlan Dual Liberty (HMO D-SNP) — Offered in TX: 21 counties
- Wellcare Superior HealthPlan Dual Liberty Sync (HMO D-SNP) — Offered in TX: 53 counties
- Wellcare Superior HealthPlan Dual Reserve (HMO D-SNP) — Offered in TX: 100 counties
- Wellcare Superior HealthPlan Dual Reserve Value (HMO D-SNP) — Offered in TX: 125 counties
- Wellcare TexanPlus Classic Simple (HMO-POS) — Offered in TX: 14 counties
- Wellcare Trillium Health Plan Dual Select Sync (HMO D-SNP) — Offered in OR: Clackamas, Lane, Multnomah, Washington
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
