Pitavastatin calcium (Livalo) — plans on this site that list it on Tier 4

Align powered by Sanford Health Plan

2 plans on this site

• Align SecureChoice (PPO) — Offered in IA: Lyon, O'Brien, Osceola, Sioux; ND: 17 counties; SD: 19 counties
• Align SecureChoice Gold (PPO) — Offered in IA: Lyon, O'Brien, Osceola, Sioux; ND: 17 counties; SD: 19 counties

AlohaCare

1 plan on this site

• AlohaCare Advantage Plus (HMO D-SNP) — Offered in HI: Hawaii, Honolulu, Kalawao, Kauai, Maui

AmeriHealth Caritas VIP Care (HMO-D-SNP)

1 plan on this site

• AmeriHealth Caritas VIP Care Choice (HMO D-SNP) — Offered in DE: Kent, New Castle, Sussex

Astiva Health

8 plans on this site

• Astiva Health C-SNP Bloom (HMO C-SNP) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
• Astiva Health C-SNP Deluxe (HMO C-SNP) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
• Astiva Health C-SNP Fountain (HMO C-SNP) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
• Astiva Health C-SNP WOW (HMO C-SNP) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
• Astiva Health C-SNP WOW - NorCal (HMO C-SNP) — Offered in CA: Santa Clara
• Astiva Health Premier Plan - NorCal (HMO) — Offered in CA: Santa Clara
• Astiva Health Savings Plan (HMO) — Offered in CA: Los Angeles, Orange, Riverside, San Bernardino, San Diego
• Astiva Health Savings Plan - NorCal (HMO) — Offered in CA: Santa Clara

Blue Cross Blue Shield of Arizona (AZ Blue)

2 plans on this site

• Blue Best Life Classic (HMO) — Offered in AZ: Maricopa, Pinal
• Blue Best Life Plus (HMO) — Offered in AZ: Maricopa, Pinal

Blue Cross Blue Shield of South Carolina

2 plans on this site

• BlueCross Total (PPO) — Offered in SC: 12 counties
• BlueCross Total Value (PPO) — Offered in SC: 15 counties

Blue Cross and Blue Shield of North Carolina

5 plans on this site

• Blue Medicare Enhanced (HMO-POS) — Offered in NC: 42 counties
• Blue Medicare Essential (HMO) — Offered in NC: 80 counties
• Blue Medicare Essential Plus (HMO-POS) — Offered in NC: 42 counties
• Blue Medicare PPO Enhanced (PPO) — Offered in NC: 61 counties
• Healthy Blue + Medicare (HMO-POS D-SNP) — Offered in NC: 100 counties

CenCal CareConnect

1 plan on this site

• CenCal CareConnect (HMO D-SNP) — Offered in CA: San Luis Obispo, Santa Barbara

Cox HealthPlans

3 plans on this site

• CMH Medicare Advantage (HMO) — Offered in MO: Cedar, Dade, Dallas, Hickory, Polk
• CoxHealth Medicare Advantage (HMO) — Offered in MO: Barry, Christian, Greene, Lawrence, Stone, Taney, Webster
• Phelps Health Medicare Advantage (HMO) — Offered in MO: Crawford, Dent, Maries, Phelps, Pulaski

Elite Health Plan, Inc.

2 plans on this site

• Elite Core HMO (HMO) — Offered in CA: Los Angeles, Riverside, San Bernardino
• Elite Signature HMO (HMO) — Offered in CA: Los Angeles, Riverside, San Bernardino

Fallon Health

3 plans on this site

• Fallon Medicare Plus Blue (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
• Fallon Medicare Plus Green (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
• Fallon Medicare Plus Orange (HMO) — Offered in MA: Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk

First Choice VIP Care (HMO D-SNP)

1 plan on this site

• First Choice VIP Care (HMO D-SNP) — Offered in SC: 46 counties

Great Plains Medicare Advantage

3 plans on this site

• Great Plain Medicare Advantage Gold (HMO I-SNP) — Offered in IA: Fremont, Harrison, Lyon, Mills, Montgomery, Plymouth, Pottawattamie, Shelby; ND: 19 counties; SD: 23 counties
• Great Plains Medicare Advantage (HMO I-SNP) — Offered in NE: 56 counties
• Great Plains Medicare Advantage Gold (HMO I-SNP) — Offered in NE: 56 counties

Health First Health Plans, Inc.

6 plans on this site

• Health First Classic H1099-001 (HMO-POS) — Offered in FL: Brevard, Indian River
• Health First Emerald Plus H1099-026 (HMO) — Offered in FL: Indian River
• Health First Emerald Plus H1099-028 (HMO) — Offered in FL: Flagler, Volusia
• Health First Rewards H1099-014 (HMO) — Offered in FL: Brevard, Indian River
• Health First SunSaver H1099-016 (HMO) — Offered in FL: Flagler, Volusia
• Health First Value H1099-006 (HMO) — Offered in FL: Brevard, Indian River

Independent Health

3 plans on this site

• Independent Health's Encompass 65 RED 042 (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
• Independent Health's Encompass 65 RED 044 (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
• Independent Health's Medicare Passport Connect (PPO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming

KelseyCare Advantage

2 plans on this site

• KelseyCare Advantage Freedom (HMO-POS) — Offered in TX: 13 counties
• KelseyCare Advantage Signature (HMO) — Offered in TX: Brazoria, Fort Bend, Galveston, Harris, Montgomery

MCS Classicare

1 plan on this site

• MCS Classicare RxMax (HMO) — Offered in PR: 78 counties

MyAdvocate Medicare Advantage

2 plans on this site

• MyAdvocate Medicare Advantage GOLD (HMO-POS) — Offered in NE: 21 counties
• MyAdvocate Medicare Advantage SILVER (HMO-POS) — Offered in NE: 21 counties

Quartz Medicare Advantage (HMO)

14 plans on this site

• Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO) — Offered in MN: Fillmore, Houston, Wabasha
• Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO) — Offered in MN: Fillmore, Houston, Wabasha
• Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO) — Offered in MN: Fillmore, Houston, Wabasha
• Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO) — Offered in MN: Fillmore, Houston, Wabasha
• Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) — Offered in IA: Allamakee, Fayette, Winneshiek; WI: Buffalo, La Crosse, Monroe, Pepin, Trempealeau
• Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) — Offered in IA: Allamakee, Fayette, Winneshiek; WI: Buffalo, La Crosse, Monroe, Pepin, Trempealeau
• Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP) — Offered in WI: La Crosse
• Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO) — Offered in IA: Allamakee, Fayette, Winneshiek; WI: Buffalo, La Crosse, Monroe, Pepin, Trempealeau
• Gundersen Quartz Med Advantage Value D (w/Rx) (HMO) — Offered in IA: Allamakee, Fayette, Winneshiek; WI: Buffalo, La Crosse, Monroe, Pepin, Trempealeau
• UW Health Quartz Med Advantage Basic D (w/Rx) (HMO) — Offered in WI: Columbia, Dane, Green
• UW Health Quartz Med Advantage Core D (w/Rx) (HMO) — Offered in WI: Columbia, Dane, Green
• UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP) — Offered in WI: Dane
• UW Health Quartz Med Advantage Elite D (w/Rx) (HMO) — Offered in WI: Columbia, Dane, Green
• UW Health Quartz Med Advantage Value D (w/Rx) (HMO) — Offered in WI: Columbia, Dane, Green

San Francisco Health Plan

1 plan on this site

• SFHP Care Plus (HMO D-SNP) — Offered in CA: San Francisco

Security Health Plan of Wisconsin, Inc.

4 plans on this site

• Esteem Rx (HMO) — Offered in WI: 33 counties
• Esteem Rx Gold (HMO-POS) — Offered in WI: 33 counties
• Esteem Rx Silver (HMO-POS) — Offered in WI: 33 counties
• Legacy Rx (HMO-POS) — Offered in WI: 33 counties

South Country Health Alliance

2 plans on this site

• AbilityCare (HMO D-SNP) — Offered in MN: Brown, Dodge, Goodhue, Sibley, Steele, Wabasha, Waseca
• SeniorCare Complete (HMO D-SNP) — Offered in MN: Brown, Dodge, Goodhue, Sibley, Steele, Wabasha, Waseca

SummaCare Medicare Advantage Plans

5 plans on this site

• SummaCare Medicare Emerald (HMO-POS) — Offered in OH: 15 counties
• SummaCare Medicare Quartz (HMO) — Offered in OH: 25 counties
• SummaCare Medicare Ruby (HMO) — Offered in OH: 25 counties
• SummaCare Medicare Sapphire (HMO-POS) — Offered in OH: 31 counties
• SummaCare Medicare Topaz (HMO) — Offered in OH: 25 counties

Ultimate Health Plans

5 plans on this site

• Advantage Care COPD by Ultimate (HMO C-SNP) — Offered in FL: 12 counties
• Advantage Care by Ultimate (HMO C-SNP) — Offered in FL: Citrus, Hernando, Pasco
• Advantage Plus by Ultimate (Full) (HMO D-SNP) — Offered in FL: 16 counties
• Advantage Plus by Ultimate (Partial) (HMO D-SNP) — Offered in FL: 16 counties
• Premier by Ultimate (HMO) — Offered in FL: Citrus, Hernando, Indian River, Pasco, St. Lucie

VISTA Health Plan Inc.

2 plans on this site

• Amerihealth Caritas VIP Care (HMO D-SNP) — Offered in PA: 62 counties
• Keystone First VIP Choice (HMO D-SNP) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia

Verda Health Plan of Texas

2 plans on this site

• Verda Noble Care (HMO) — Offered in TX: Collin, Dallas, Denton, Tarrant
• Verda Noble Chronic Care (HMO C-SNP) — Offered in TX: Collin, Dallas, Denton, Tarrant

eternalHealth

6 plans on this site

• eternalHealth Catalina (HMO) — Offered in AZ: Pima
• eternalHealth Forever (HMO) — Offered in MA: Bristol, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
• eternalHealth Freedom (PPO) — Offered in MA: Bristol, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
• eternalHealth Give Back (PPO) — Offered in MA: Bristol, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
• eternalHealth Harmony (HMO) — Offered in AZ: Graham, Maricopa, Pinal
• eternalHealth Horizon (HMO) — Offered in AZ: Graham, Maricopa, Pima, Pinal