Spinosad (Natroba) — plans on this site that list it on Tier 4

AmeriHealth

2 plans on this site

• AmeriHealth Medicare Classic Rx (HMO) — Offered in NJ: Atlantic, Burlington, Camden, Gloucester, Mercer, Middlesex, Ocean
• AmeriHealth Medicare Core (PPO) — Offered in NJ: Camden

BayCare Health Plans

2 plans on this site

• BayCarePlus Complete (HMO) — Offered in FL: Hillsborough, Pasco, Pinellas, Polk
• BayCarePlus Rewards (HMO) — Offered in FL: Hillsborough, Pasco, Pinellas, Polk

Healthy Arkansas, Inc.

3 plans on this site

• Healthy Arkansas Dual Advantage (PPO D-SNP) — Offered in AR: 35 counties
• Healthy Arkansas Preferred (PPO) — Offered in AR: 35 counties
• Healthy Arkansas Premier Advantage (HMO-POS) — Offered in AR: 35 counties

Healthy Mississippi, Inc.

4 plans on this site

• Healthy Mississippi Dual Advantage (PPO D-SNP) — Offered in MS: 81 counties
• Healthy Mississippi Institutional (PPO I-SNP) — Offered in MS: 81 counties
• Healthy Mississippi Preferred (PPO) — Offered in MS: 81 counties
• Healthy Mississippi Premier Advantage (HMO-POS) — Offered in MS: 81 counties

Independence Blue Cross

8 plans on this site

• Keystone 65 Assured Rx (HMO) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
• Keystone 65 Basic Rx (HMO) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
• Keystone 65 Essential Rx (HMO-POS) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
• Keystone 65 Focus Rx (HMO-POS) — Offered in PA: Chester, Delaware, Montgomery
• Keystone 65 Preferred Rx (HMO) — Offered in PA: Chester, Delaware, Montgomery
• Keystone 65 Select Rx (HMO) — Offered in PA: Chester, Delaware, Montgomery
• Personal Choice 65 Achieve Rx (PPO) — Offered in PA: Bucks, Chester, Delaware, Montgomery, Philadelphia
• Personal Choice 65 Rx (PPO) — Offered in PA: Chester, Delaware, Montgomery

Network Health Medicare Advantage Plans

7 plans on this site

• Network Health Anywhere (PPO) — Offered in WI: Kenosha, Milwaukee, Ozaukee, Racine, Washington, Waukesha
• Network Health Cares (PPO D-SNP) — Offered in WI: 24 counties
• Network Health Choice (PPO) — Offered in WI: 21 counties
• Network Health Go (PPO) — Offered in WI: Milwaukee, Ozaukee, Racine, Washington, Waukesha
• Network Health PlusRx (PPO) — Offered in WI: 21 counties
• Network Health PremierRx (PPO) — Offered in WI: 21 counties
• Network Health Select (PPO) — Offered in WI: 21 counties

Select Health

4 plans on this site

• Select Health Medicare Dual (HMO D-SNP) — Offered in UT: Davis, Iron, Salt Lake, Utah, Washington, Weber
• Select Health Medicare Essential (HMO) — Offered in CO: Adams, Arapahoe, Denver, Douglas, El Paso, Elbert, Jefferson, Pueblo, Teller
• Select Health Medicare Value Giveback (HMO) — Offered in NV: Clark, Nye
• Select Health Medicare Wellness (HMO) — Offered in NV: Clark, Nye

UPMC for Life

11 plans on this site

• UPMC for Life Essential Rx (PPO) — Offered in PA: 34 counties
• UPMC for Life HMO Deductible Rx (HMO) — Offered in OH: Harrison, Jefferson; PA: 17 counties
• UPMC for Life HMO Premier Rx (HMO) — Offered in PA: 18 counties
• UPMC for Life HMO Rx (HMO) — Offered in OH: Harrison, Jefferson; PA: 31 counties
• UPMC for Life HMO Rx Choice (HMO) — Offered in PA: 18 counties
• UPMC for Life HMO Rx Enhanced (HMO) — Offered in OH: Harrison, Jefferson; PA: 39 counties
• UPMC for Life PPO High Deductible Rx (PPO) — Offered in PA: 17 counties
• UPMC for Life PPO Premier Rx (PPO) — Offered in PA: 13 counties
• UPMC for Life PPO Rx Choice (PPO) — Offered in PA: Armstrong, Beaver, Fayette, Greene, Lawrence, Washington
• UPMC for Life PPO Rx Enhanced (PPO) — Offered in PA: 18 counties
• UPMC for Life Preferred Rx (HMO) — Offered in PA: Butler, Clarion, Westmoreland

UPMC for Life Complete Care

1 plan on this site

• UPMC for Life Complete Care (HMO D-SNP) — Offered in PA: 26 counties