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Medications
Pimavanserin (Nuplazid) — plans on this site that list it on Tier 4
80 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
AgeRight Advantage
3 plans on this site
- AgeRight Advantage Health Plan (HMO I-SNP) — Offered in OR: 11 counties; WA: Clark, King, Lewis, Pierce, Snohomish, Thurston
- AgeRight Advantage Plus Health Plan (HMO I-SNP) — Offered in OR: 11 counties; WA: Clark, King, Lewis, Pierce, Snohomish, Thurston
- AgeRight Advantage Premier Health Plan (HMO C-SNP) — Offered in OR: 11 counties
Align Senior Care
3 plans on this site
- Advantage Care (HMO) — Offered in CA: Los Angeles, Orange, Riverside
- Premier (HMO I-SNP) — Offered in IA: 41 counties
- Premier Care (HMO I-SNP) — Offered in FL: 15 counties
Communicare Advantage
1 plan on this site
- CommuniCare Advantage CSNP (HMO C-SNP) — Offered in OH: Butler, Cuyahoga, Hamilton, Lorain, Montgomery
Community First
3 plans on this site
- Community First Medicare Advantage Alamo Plan (HMO) — Offered in TX: Bexar
- Community First Medicare Advantage Bexar Dual (HMO D-SNP) — Offered in TX: Bexar
- Community First Medicare Advantage Mezquite Dual (HMO D-SNP) — Offered in TX: Atascosa, Bandera, Comal, Guadalupe, Kendall, Medina, Wilson
Community Health Choice
2 plans on this site
- Community DualCare Access (HMO D-SNP) — Offered in TX: 11 counties
- Community DualCare Aligned (HMO D-SNP) — Offered in TX: Austin, Brazoria, Fort Bend, Galveston, Matagorda, Montgomery, Waller, Wharton
CommunityCare Senior Health Plan (HMO)
4 plans on this site
- Senior Health Plan Oklahoma Dual Complete (HMO D-SNP) — Offered in OK: 40 counties
- Senior Health Plan Platinum (HMO) — Offered in OK: 40 counties
- Senior Health Plan Platinum Plus (HMO) — Offered in OK: 40 counties
- Senior Health Plan Silver Plus (HMO) — Offered in OK: 40 counties
El Paso Health Medicare Advantage
4 plans on this site
- El Paso Health Giveback (HMO) — Offered in TX: El Paso, Hudspeth
- El Paso Health Medicare Advantage Dual (HMO D-SNP) — Offered in TX: El Paso, Hudspeth
- El Paso Health Medicare Align (HMO D-SNP) — Offered in TX: El Paso
- El Paso Health Total (HMO) — Offered in TX: El Paso, Hudspeth
Freedom Health, Inc.
10 plans on this site
- Freedom Medi-Medi Full (HMO D-SNP) — Offered in FL: Brevard
- Freedom Medi-Medi Partial (HMO D-SNP) — Offered in FL: 24 counties
- Freedom Medicare Plan Rx (HMO) — Offered in FL: Brevard, Charlotte, Lee, Pinellas, Volusia
- Freedom Máximo (HMO-POS) — Offered in FL: Orange, Osceola, Seminole
- Freedom Platinum Plan Rx (HMO) — Offered in FL: Charlotte, Collier, Lee, Manatee, Sarasota
- Freedom Platinum Rewards Plan Rx (HMO) — Offered in FL: Orange, Osceola, Seminole, Volusia
- Freedom VIP Care (HMO C-SNP) — Offered in FL: 16 counties
- Freedom VIP Rewards (HMO C-SNP) — Offered in FL: Brevard, Indian River, Martin, St. Lucie
- Freedom VIP Savings (HMO C-SNP) — Offered in FL: 16 counties
- Freedom VIP Savings COPD (HMO C-SNP) — Offered in FL: 16 counties
Georgia Health Advantage
1 plan on this site
- Georgia Health Advantage Choice (HMO I-SNP) — Offered in GA: 131 counties
Highmark Blue Cross Blue Shield
2 plans on this site
- Highmark Health Options Duals (HMO D-SNP) — Offered in WV: 40 counties
- Highmark Health Options Duals Select (HMO D-SNP) — Offered in DE: Kent, New Castle, Sussex
Highmark Wholecare Medicare Assured
2 plans on this site
- Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) — Offered in PA: 57 counties
- Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) — Offered in PA: 57 counties
KeyCare Advantage
2 plans on this site
- KeyCare Advantage (HMO I-SNP) — Offered in MD: Anne Arundel, Baltimore, Baltimore City, Carroll, Harford, Howard, Prince George's
- KeyCare Advantage Plus (HMO C-SNP) — Offered in MD: Anne Arundel, Baltimore, Baltimore City, Carroll, Harford, Howard, Prince George's
L.A. Care Health Plan
1 plan on this site
- L.A. Care Medicare Plus (HMO D-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
Liberty Medicare Advantage
1 plan on this site
- Liberty Medicare Advantage (HMO C-SNP) — Offered in NC: 54 counties
Lifeworks Advantage
1 plan on this site
- Premier Care (HMO-POS I-SNP) — Offered in VA: 71 counties
MultiCare Health Plan Medicare Advantage Evergreen Plans
2 plans on this site
- MultiCare Health Plan Evergreen Enhanced (HMO) — Offered in WA: Pierce, Spokane, Thurston
- MultiCare Health Plan Evergreen Essential (HMO) — Offered in WA: Pierce, Spokane, Thurston
NHC Advantage
1 plan on this site
- NHC Advantage (HMO I-SNP) — Offered in MO: 30 counties; NC: Alamance, Polk; SC: 22 counties; TN: 39 counties
Native Advantage
1 plan on this site
- Native Advantage (HMO) — Offered in OK: 11 counties
Optimum HealthCare, Inc.
11 plans on this site
- Optimum Diamond (HMO C-SNP) — Offered in FL: Citrus, Hernando, Hillsborough, Pasco, Pinellas
- Optimum Diamond Rewards (HMO C-SNP) — Offered in FL: Citrus, Hernando, Hillsborough, Pasco, Pinellas
- Optimum Diamond Rewards COPD (HMO C-SNP) — Offered in FL: Citrus, Hernando, Hillsborough, Pasco, Pinellas
- Optimum Diamond Savings (HMO C-SNP) — Offered in FL: 18 counties
- Optimum Diamond Savings COPD (HMO C-SNP) — Offered in FL: 14 counties
- Optimum Emerald Full (HMO D-SNP) — Offered in FL: Collier
- Optimum Emerald Partial (HMO D-SNP) — Offered in FL: 24 counties
- Optimum Gold Plan (HMO) — Offered in FL: Citrus, Polk, Sarasota
- Optimum Gold Plus Plan (HMO) — Offered in FL: Citrus, Hernando
- Optimum Gold Rewards Plan (HMO) — Offered in FL: Broward, Citrus, Hernando, Hillsborough, Pasco, Pinellas
- Optimum Platinum Plan (HMO) — Offered in FL: Broward, Citrus, Hernando, Hillsborough, Pasco, Pinellas
Peak Health
3 plans on this site
- Peak Advantage Summit (PPO) — Offered in WV: 44 counties
- Peak Advantage Vista (PPO) — Offered in WV: 44 counties
- PeakPlus Rise (PPO D-SNP) — Offered in WV: Berkeley, Cabell, Harrison, Jefferson, Kanawha, Marion, Mercer, Monongalia, Ohio, Wood
Perennial Advantage
4 plans on this site
- Perennial Advantage Freedom (HMO) — Offered in PA: 12 counties
- Perennial Advantage Freedom (HMO-POS) — Offered in OH: 19 counties
- Perennial Advantage Premier (HMO I-SNP) — Offered in PA: 30 counties
- Perennial Advantage Premier (HMO-POS I-SNP) — Offered in OH: 42 counties
ProCare Advantage
3 plans on this site
- ProCare Advantage (HMO-POS I-SNP) — Offered in TX: 114 counties
- ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP) — Offered in TX: 12 counties
- ProCare Advantage - Kidney Care (HMO-POS C-SNP) — Offered in TX: 12 counties
PruittHealth Premier
3 plans on this site
- PruittHealth Premier (HMO I-SNP) — Offered in GA: 118 counties
- PruittHealth Premier Advantage (HMO I-SNP) — Offered in GA: 118 counties
- PruittHealth Premier D-SNP (HMO D-SNP) — Offered in GA: 118 counties
SECUR Health Plan
2 plans on this site
- SECUR CarePath (HMO C-SNP) — Offered in FL: Hillsborough, Pasco, Pinellas
- SECUR Edge (HMO I-SNP) — Offered in FL: Citrus, Hernando, Hillsborough, Pasco, Pinellas
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
Simpra Advantage
1 plan on this site
- Simpra Advantage Assist (PPO I-SNP) — Offered in AL: 67 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