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Lithium citrate — plans on this site that list it on Tier 4

1700 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

Anthem HealthKeepers

1 plan on this site

Arkansas Blue Medicare

3 plans on this site

Astiva Health

8 plans on this site

Baylor Scott & White Health Plan

6 plans on this site

Blue Care Network

4 plans on this site

Blue Cross & Blue Shield of Rhode Island

5 plans on this site

Blue Cross Blue Shield of Michigan

8 plans on this site

Blue Cross and Blue Shield of Alabama

3 plans on this site

Blue Cross and Blue Shield of IL, NM

4 plans on this site

Blue Cross and Blue Shield of Kansas

3 plans on this site

Blue Cross and Blue Shield of Minnesota

3 plans on this site

Blue Cross and Blue Shield of Nebraska

3 plans on this site

Blue Cross of Idaho

6 plans on this site

Blue Plus

1 plan on this site

Capital Blue Cross

10 plans on this site

Capital Health Plan

4 plans on this site

CareFirst BlueCross BlueShield Advantage DualPrime

1 plan on this site

CareFirst BlueCross BlueShield Medicare Advantage

3 plans on this site

CarePlus Health Plans, Inc.

17 plans on this site

CenCal CareConnect

1 plan on this site

Central California Alliance for Health

1 plan on this site

Cox HealthPlans

3 plans on this site

Devoted Health

687 plans on this site

Doctors HealthCare Plans, Inc.

9 plans on this site

Elderplan

1 plan on this site

Elite Health Plan, Inc.

2 plans on this site

EmblemHealth

5 plans on this site

Florida Blue

2 plans on this site

Florida Blue HMO

6 plans on this site

Florida Complete Care

3 plans on this site

GlobalHealth

6 plans on this site

Gold Coast Health Plan

1 plan on this site

HMSA Akamai Advantage

5 plans on this site

HealthPartners

5 plans on this site

Healthfirst Medicare Plan

6 plans on this site

Healthy Arkansas, Inc.

3 plans on this site

Healthy Mississippi, Inc.

4 plans on this site

Horizon Blue Cross Blue Shield of New Jersey

1 plan on this site

Humana

486 plans on this site

Itasca Medical Care/IMCare Classic

1 plan on this site

Jefferson Health Plans

10 plans on this site

Johns Hopkins Advantage MD

2 plans on this site

Kaiser Permanente

110 plans on this site

MVP HEALTH CARE

7 plans on this site

Martin's Point Generations Advantage

2 plans on this site

Mass General Brigham Health Plan

3 plans on this site

MedCare Partners Health Plan of Texas

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

Network Health Medicare Advantage Plans

7 plans on this site

PacificSource Medicare

5 plans on this site

Passport Advantage

1 plan on this site

Priority Health Medicare

12 plans on this site

Range Health

4 plans on this site

Regence BlueCross BlueShield of Oregon

3 plans on this site

Regence BlueShield

1 plan on this site

San Francisco Health Plan

1 plan on this site

Senior Whole Health of New York

2 plans on this site

Solis Health Plans

5 plans on this site

St. Luke's Health Plan

3 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

UPMC for Life

11 plans on this site

UPMC for Life Complete Care

1 plan on this site

VIVA Medicare

5 plans on this site

Verda Health Plan of Texas

2 plans on this site

WyoBlue Advantage

2 plans on this site

Zing Health

6 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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