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Medications
Pitavastatin calcium (Livalo) — plans on this site that list it on Tier 6
37 plans published on this site list this drug on Tier 6, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.
Community Health Plan of WA Medicare Advantage
2 plans on this site
- Community Health Plan of WA Dual Complete (HMO D-SNP) — Offered in WA: 39 counties
- Community Health Plan of WA Dual Select (HMO D-SNP) — Offered in WA: 29 counties
Jefferson Health Plans
3 plans on this site
- Jefferson Health Plans Dual Pearl (HMO D-SNP) — Offered in PA: 22 counties
- Jefferson Health Plans Select (HMO D-SNP) — Offered in PA: 20 counties
- Jefferson Health Plans Special (HMO D-SNP) — Offered in PA: 42 counties
Martin's Point Generations Advantage
1 plan on this site
- Martin's Point Generations Advantage Prime (HMO) — Offered in ME: Aroostook, Franklin, Knox, Lincoln, Oxford, Penobscot, Waldo
Medica
6 plans on this site
- Medica Advantage Dual (PPO D-SNP) — Offered in ND: 23 counties
- Medica Advantage Essential (PPO) — Offered in NE: 42 counties
- Medica Advantage Preferred (PPO) — Offered in SD: 15 counties
- Medica Advantage Select (PPO) — Offered in NE: 42 counties
- Medica Advantage Value (PPO) — Offered in MN: Anoka, Carver, Dakota, Ramsey, Scott, Washington
- Medica DUAL Solution (HMO D-SNP) — Offered in MN: 54 counties
Medical Mutual of Ohio
10 plans on this site
- MedMutual Advantage Choice (HMO) — Offered in OH: 19 counties
- MedMutual Advantage Classic (HMO-POS) — Offered in OH: 19 counties
- MedMutual Advantage Elite Enhanced (HMO-POS) — Offered in OH: Fulton, Lucas, Ottawa, Sandusky, Wood
- MedMutual Advantage Elite Preferred (PPO) — Offered in OH: Fulton, Lucas, Ottawa, Sandusky, Wood
- MedMutual Advantage Elite Prime (HMO-POS) — Offered in OH: Fulton, Lucas, Ottawa, Sandusky, Wood
- MedMutual Advantage Elite Standard (HMO-POS) — Offered in OH: Fulton, Lucas, Ottawa, Sandusky, Wood
- MedMutual Advantage Plus (HMO) — Offered in OH: 19 counties
- MedMutual Advantage Preferred (PPO) — Offered in OH: 24 counties
- MedMutual Advantage Premium (PPO) — Offered in OH: 24 counties
- MedMutual Advantage Select (PPO) — Offered in OH: 24 counties
Molina Healthcare of Illinois
1 plan on this site
- Molina Medicare Complete Care Plus (HMO D-SNP) — Offered in IL: 102 counties
Molina Healthcare of Massachusetts
3 plans on this site
- Molina One Care (HMO D-SNP) — Offered in MA: Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
- Senior Whole Health SCO (HMO D-SNP) — Offered in MA: Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
- Senior Whole Health SCO NHC (HMO D-SNP) — Offered in MA: Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
Molina Healthcare of Michigan
1 plan on this site
- Molina Dual MI Coordinated Health (HMO D-SNP) — Offered in MI: Barry, Branch, Calhoun, Kalamazoo, Van Buren
Molina Healthcare of Ohio
2 plans on this site
- Molina Complete Care Connect for MyCare Ohio (HMO D-SNP) — Offered in OH: 88 counties
- Molina Complete Care for MyCare Ohio (HMO D-SNP) — Offered in OH: 88 counties
Molina Healthcare of Texas, Inc.
1 plan on this site
- Molina Medicare Complete Care (HMO D-SNP) — Offered in TX: 65 counties
Molina Healthcare of Washington, Inc.
1 plan on this site
- Molina Medicare Elect (HMO D-SNP) — Offered in WA: 39 counties
Molina Healthcare of Wisconsin
2 plans on this site
- Molina My Choice Dual Advantage (HMO D-SNP) — Offered in WI: 36 counties
- Molina My Choice Partnership (HMO D-SNP) — Offered in WI: 27 counties
Passport Advantage
1 plan on this site
- Passport Advantage (HMO D-SNP) — Offered in KY: 66 counties
Senior Whole Health of New York
2 plans on this site
- Senior Whole Health Medicare Complete Care (HMO D-SNP) — Offered in NY: Bronx, Kings, Nassau, New York, Orange, Queens, Richmond, Rockland, Westchester
- Senior Whole Health of New York NHC (HMO D-SNP) — Offered in NY: Bronx, Kings, Nassau, New York, Orange, Queens, Richmond, Rockland, Westchester
Upper Peninsula Health Plan (UPHP) MI Coordinated Health
1 plan on this site
- Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) — Offered in MI: 15 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
