Medication Search for Plans in Arizona

Use the medication search tool below, but also review our $0 Drug List, which features $0 options for the following types of medications:

  • High Blood Pressure
  • Antibiotics, Antifungals and Antivirals
  • Diabetes
  • Heart Health
  • Cholesterol Management

$0 Drug List for Complete and Complete+Dental Plans

The $0 Core Rx List applies to all Complete and Complete+Dental plans. Medications listed below are $0 copay when prescribed by an Antidote virtual provider.

$0 Copay High Blood Pressure Medicines:

  • AMLODIPINE
  • ATENOL/CHLOR
  • BENAZEPRIL
  • BISOPRL/HCTZ
  • BISOPROL
  • BUMETANIDE
  • CARVEDILOL
  • CHLORTHALID
  • CLONIDINE DILT-XR
  • DILTIAZEM
  • ENALAPR/HCTZ
  • ENALAPRIL
  • FELODIPINE
  • FUROSEMIDE
  • HYDRALAZINE
  • HYDROCHLOROT
  • INDAPAMIDE
  • IRBESARTAN
  • LABETALOL
  • LISINOP/HCTZ
  • LISINOPRIL
  • LOSARTAN
  • LOSARTAN/HCT
  • METOPROL
  • PRAZOSIN
  • PROPRANOLOL
  • QNAPRIL/HCTZ
  • QUINAPRIL
  • RAMIPRIL
  • SPIRONO/HCTZ
  • SPIRONOLACT
  • TRIAMT/HCTZ
  • VALSARTAN
  • VERAPAMI

$0 Copay Antibiotics, Antifungal, and Antiviral:

  • ACYCLOVIR
  • AMOX/K
  • AMOXICILLIN
  • AMP-SULBACTA
  • AZITHROMYCIN
  • CEFACLOR
  • CEFADROXIL
  • CEFAZOLIN
  • CEFDINIR
  • CEFOTETAN
  • CEFOXITIN
  • CEFPROZIL
  • CEPHALEXIN
  • CIPROFLOXACN
  • CLARITHROMYC
  • CLINDAMYCIN
  • DICLOXACILL
  • DOXYCYCLINE
  • FAMCICLOVIR
  • FLUCONAZOLE
  • HYDROXYCHLOR
  • KETOCONAZOLE
  • LEVOFLOXACIN
  • MARAVIROC
  • MEFLOQUINE
  • METRONIDAZOL
  • MINOCYCLINE
  • MOXIFLOXACIN
  • NEOMYCIN
  • NITROFURANTN
  • PENICILLN
  • POLYMYXIN
  • PRIMAQUINE
  • SMZ/TMP
  • TERBINAFINE
  • TINIDAZOLE
  • TRIMETHOPRIM
  • VALACYCLOVIR
  • VANCOMYCIN

$0 Copay Diabetes Medications:

  • GLIPIZIDE
  • GLYBURIDE
  • METFORMIN

$0 Copay Heart and Cholesterol Medications:

  • AMILOR/HCTZ
  • AMILORIDE
  • AMIODARONE
  • AMLOD/BENAZP
  • AMLODIPINE
  • ATENOL/CHLOR
  • ATENOLOL
  • BENAZEPRIL
  • BISOPRL/HCTZ
  • BISOPROL
  • BUMETANIDE
  • CARTIA
  • CARVEDILOL
  • CHLORTHALID
  • CLONIDINE
  • DILT-XR DILTIAZEM
  • ENALAPR/HCTZ
  • ENALAPRIL
  • EZETIMIBE
  • FELODIPINE
  • FLECAINIDE
  • FOSINOPRIL
  • FUROSEMIDE
  • HYDRALAZINE
  • HYDROCHLOROT
  • INDAPAMIDE
  • IRBESAR/HCTZ
  • ISOSORB
  • LABETALOL
  • LISINOP/HCTZ
  • LISINOPRIL
  • LOSARTAN
  • LOSARTAN/HCT
  • LOVASTATIN
  • METHYLDOPA
  • METOPROL
  • METYROSINE
  • MIDODRINE
  • NIFEDIPINE
  • PRAZOSIN
  • PROPAFENONE
  • PROPRANOLOL
  • QNAPRIL/HCTZ
  • QUINAPRIL QUINIDINE
  • RAMIPRIL
  • ROSUVASTATIN
  • SOTALOL
  • SPIRONO/HCTZ
  • SPIRONOLACT
  • TAZTIA
  • TELMISARTAN
  • TERAZOSIN
  • TORSEMIDE
  • TRANDOLAPRIL
  • TRIAMT/HCTZ
  • VALSART/HCTZ
  • VALSARTAN
  • VERAPAMIL

Other $0 Copay Medications:

  • SELECTED MULTIVITAMIN + FLUORIDE
  • CITALOPRAM
  • FLUOXETINE
  • SERTRALINE
  • SELECTED FOLIC ACID AND PRENATAL VITAMINS
  • ESCITALOPRAM
  • PAROXETINE

$0 Drug List for Elite and Elite +Dental Plans

The $0 Advanced Rx List applies to all Elite and Elite+Dental plans. Medications listed below are $0 copay regardless of prescribing provider.

$0 Copay High Blood Pressure Medicines:

  • AMLODIPINE
  • ATENOL/CHLOR
  • BENAZEPRIL
  • BISOPRL/HCTZ
  • BISOPROL
  • BUMETANIDE
  • CARVEDILOL
  • CHLORTHALID
  • CLONIDINE DILT-XR
  • DILTIAZEM
  • ENALAPR/HCTZ
  • ENALAPRIL
  • ELODIPINE
  • FUROSEMIDE
  • HYDRALAZINE
  • HYDROCHLOROT
  • INDAPAMIDE
  • IRBESARTAN
  • LABETALOL
  • LISINOP/HCTZ
  • LISINOPRIL
  • LOSARTAN
  • LOSARTAN/HCT
  • METOPROL
  • PRAZOSIN
  • PROPRANOLOL
  • QNAPRIL/HCTZ
  • QUINAPRIL
  • RAMIPRIL
  • SPIRONO/HCTZ
  • SPIRONOLACT
  • TRIAMT/HCTZ
  • VALSARTAN
  • VERAPAMI

$0 Copay Antibiotics, Antifungal, and Antiviral:

  • ACYCLOVIR
  • AMOX/K
  • AMOXICILLIN
  • AMP-SULBACTA
  • AZITHROMYCIN
  • CEFACLOR
  • CEFADROXIL
  • CEFAZOLIN
  • CEFDINIR
  • CEFOTETAN
  • CEFOXITIN
  • CEFPROZIL
  • CEPHALEXIN
  • CIPROFLOXACN
  • CLARITHROMYC
  • CLINDAMYCIN
  • DICLOXACILL
  • DOXYCYCLINE
  • FAMCICLOVIR
  • FLUCONAZOLE
  • HYDROXYCHLOR
  • KETOCONAZOLE
  • LEVOFLOXACIN
  • MARAVIROC
  • MEFLOQUINE
  • METRONIDAZOL
  • MINOCYCLINE
  • MOXIFLOXACIN
  • NEOMYCIN
  • NITROFURANTN
  • PENICILLN
  • POLYMYXIN
  • PRIMAQUINE
  • SMZ/TMP
  • TERBINAFINE
  • TINIDAZOLE
  • TRIMETHOPRIM
  • VALACYCLOVIR
  • VANCOMYCIN

$0 Copay Diabetes Medications:

  • GLIMEPIRIDE
  • GLIPIZIDE
  • GLYBURIDE
  • HUMALOG
  • HUMULIN
  • LANTUS
  • METFORMIN
  • PIOGLITAZONE
  • SELECTED LANCETS
  • SELECTED PEN NEEDLES
  • SELECTED SYRINGES
  • SELECTED TEST STRIPS
  • $0 Copay Heart and Cholesterol Medications:
  • AMILOR/HCTZ
  • AMILORIDE
  • AMIODARONE
  • AMLOD/BENAZP
  • AMLODIPINE
  • ATENOL/CHLOR
  • ATENOLOL
  • ATORVASTATIN
  • BENAZEPRIL
  • BISOPRL/HCTZ
  • BISOPROL
  • BUMETANIDE
  • CARTIA
  • CARVEDILOL
  • CHLORTHALID
  • CLONIDINE
  • DIGOXIN
  • DILT-XR DILTIAZEM
  • ENALAPR/HCTZ
  • ENALAPRIL
  • EZETIMIBE
  • FELODIPINE
  • FENOFIBRATE
  • FLECAINIDE
  • FOSINOPRIL
  • FUROSEMIDE
  • GEMFIBROZIL
  • HYDRALAZINE
  • HYDROCHLOROT
  • INDAPAMIDE
  • IRBESAR/HCTZ
  • ISOSORB
  • LABETALOL
  • LISINOP/HCTZ
  • LISINOPRIL
  • LOSARTAN
  • LOSARTAN/HCT
  • LOVASTATIN
  • METHYLDOPA
  • METOPROL
  • METYROSINE
  • MIDODRINE
  • NIFEDIPINE
  • NITROGLYCERN
  • PRAVASTATIN
  • PRAZOSIN
  • PROPAFENONE
  • PROPRANOLOL
  • QNAPRIL/HCTZ
  • QUINAPRIL QUINIDINE
  • RAMIPRIL
  • ROSUVASTATIN
  • SIMVASTATIN
  • SOTALOL
  • SPIRONO/HCTZ
  • SPIRONOLACT
  • TAZTIA
  • TELMISARTAN
  • TERAZOSIN
  • TORSEMIDE
  • TRANDOLAPRIL
  • TRIAMT/HCTZ
  • VALSART/HCTZ
  • VALSARTAN
  • VERAPAMIL
  • WARFARIN

Other $0 Copay Medications:

  • CALCITONIN, IBANDRONATE, RISEDRONATE for Osteoporosis
  • CITALOPRAM
  • ESCITALOPRAM
  • FLUOXETINE
  • PAROXETINE
  • SELECTED FOLIC ACID AND PRENATAL VITAMINS
  • SELECTED MULTIVITAMIN + FLUORIDE
  • SERTRALINE
  • TAMOXIFEN for breast cancer risk reduction

How to search medications:

1. Select a plan name and description from the dropdowns.

2. Type in your medication to see if it’s covered, what tier drug it is, and generic alternatives to consider.

3. If the drug shows as “not covered” click the dropdown to find covered alternatives.

4. Click on the orange "GET PRICES & PHARMACIES" button to see estimated prices at nearby pharmacies.

Search our Medication List

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Standard Bronze On Exchange Plan
Bronze Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13601*XNVAHZO
1
Standard Silver On Exchange Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13901*XNVAHZO
1
Standard Silver On Exchange Plan
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11701*XNVAHZO
1
Standard Bronze On Exchange Plan
Bronze Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11401*XNVAHZO
1
Standard Gold On Exchange Plan
Gold Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14501*XNVAHZO
1
Standard Catastrophic On Exchange Plan
Catastrophic Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13501*XNVAHZO
1
Standard Silver On Exchange Plan
Silver Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12301*XNVAHZO
1
Standard Gold On Exchange Plan
Gold Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13201*XNVAHZO
1
Standard Bronze On Exchange Plan
Bronze Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14801*XNVAHZO
1
Standard Bronze On Exchange Plan
Bronze Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15101*XNVAHZO
1
Standard Silver On Exchange Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15401*XNVAHZO
1
Standard Silver On Exchange Plan
Silver Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16001*XNVAHZO
1
Standard Gold On Exchange Plan
Gold Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16901*XNVAHZO
1
Standard Gold On Exchange Plan
Gold Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16601*XNVAHZO
1
Zero Cost Sharing Plan Variation
Bronze Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13701*XNVAHZO
2
73% AV Level Silver Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14201*XNVAHZO
2
Standard Catastrophic Off Exchange Plan
Catastrophic Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17801*NVAHZX
2
Zero Cost Sharing Plan Variation
Bronze Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11501*XNVAHZO
2
Zero Cost Sharing Plan Variation
Gold Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14601*XNVAHZO
2
73% AV Level Silver Plan
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12001*XNVAHZO
2
73% AV Level Silver Plan
Silver Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12601*XNVAHZO
2
Zero Cost Sharing Plan Variation
Gold Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13301*XNVAHZO
2
Zero Cost Sharing Plan Variation
Bronze Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15201*XNVAHZO
2
Zero Cost Sharing Plan Variation
Bronze Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14901*XNVAHZO
2
73% AV Level Silver Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15701*XNVAHZO
2
73% AV Level Silver Plan
Silver Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16301*XNVAHZO
2
Zero Cost Sharing Plan Variation
Gold Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16701*XNVAHZO
2
Zero Cost Sharing Plan Variation
Gold Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17001*XNVAHZO
2
87% AV Level Silver Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14301*XNVAHZO
3
Limited Cost Sharing Plan Variation
Bronze Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13801*XNVAHZO
3
Limited Cost Sharing Plan Variation
Gold Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14701*XNVAHZO
3
87% AV Level Silver Plan
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12101*XNVAHZO
3
Limited Cost Sharing Plan Variation
Bronze Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11601*XNVAHZO
3
87% AV Level Silver Plan
Silver Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12701*XNVAHZO
3
Limited Cost Sharing Plan Variation
Gold Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13401*XNVAHZO
3
Limited Cost Sharing Plan Variation
Bronze Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15001*XNVAHZO
3
87% AV Level Silver Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15801*XNVAHZO
3
87% AV Level Silver Plan
Silver Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16401*XNVAHZO
3
Limited Cost Sharing Plan Variation
Gold Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17101*XNVAHZO
3
Limited Cost Sharing Plan Variation
Gold Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16801*XNVAHZO
3
Standard Gold Off Exchange Plan
Gold Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18101*NVAHZX
4
Standard Bronze Off Exchange Plan
Bronze Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17901*NVAHZX
4
94% AV Level Silver Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14401*XNVAHZO
4
Standard Bronze Off Exchange Plan
Bronze Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17301*NVAHZX
4
94% AV Level Silver Plan
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12201*XNVAHZO
4
94% AV Level Silver Plan
Silver Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12801*XNVAHZO
4
Standard Gold Off Exchange Plan
Gold Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17701*NVAHZX
4
Standard Bronze Off Exchange Plan
Bronze Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18201*NVAHZX
4
94% AV Level Silver Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15901*XNVAHZO
4
94% AV Level Silver Plan
Silver Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16501*XNVAHZO
4
Standard Gold Off Exchange Plan
Gold Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18701*NVAHZX
4
Standard Gold Off Exchange Plan
Gold Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18601*NVAHZX
4
Limited Cost Sharing Plan Variation
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14101*XNVAHZO
5
Standard Bronze On Exchange Plan
Bronze Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11101*XNVAHZO
5
Limited Cost Sharing Plan Variation
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11901*XNVAHZO
5
Limited Cost Sharing Plan Variation
Silver Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12501*XNVAHZO
5
Standard Gold On Exchange Plan
Gold Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12901*XNVAHZO
5
Limited Cost Sharing Plan Variation
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15601*XNVAHZO
5
Limited Cost Sharing Plan Variation
Silver Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16201*XNVAHZO
5
Zero Cost Sharing Plan Variation
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC14001*XNVAHZO
6
Zero Cost Sharing Plan Variation
Bronze Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11201*XNVAHZO
6
Zero Cost Sharing Plan Variation
Silver Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC12401*XNVAHZO
6
Zero Cost Sharing Plan Variation
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11801*XNVAHZO
6
Zero Cost Sharing Plan Variation
Gold Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13001*XNVAHZO
6
Zero Cost Sharing Plan Variation
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15501*XNVAHZO
6
Zero Cost Sharing Plan Variation
Silver Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC16101*XNVAHZO
6
Standard Silver Off Exchange Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18001*NVAHZX
7
Standard Silver Off Exchange Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18801*NVAHZX
7
Limited Cost Sharing Plan Variation
Bronze Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC11301*XNVAHZO
7
Standard Silver Off Exchange Plan
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17401*NVAHZX
7
Standard Silver Off Exchange Plan
Silver Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17501*NVAHZX
7
Standard Silver Off Exchange Plan
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18901*NVAHZX
7
Limited Cost Sharing Plan Variation
Gold Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC13101*XNVAHZO
7
Standard Silver Off Exchange Plan
Silver Complete+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC19001*NVAHZX
7
Standard Silver Off Exchange Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18401*NVAHZX
7
Standard Silver Off Exchange Plan
Silver Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18501*NVAHZX
7
Standard Silver Off Exchange Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC19101*NVAHZX
7
Standard Silver Off Exchange Plan
Silver Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC19201*NVAHZX
7
Standard Bronze Off Exchange Plan
Bronze Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17201*NVAHZX
8
Standard Gold Off Exchange Plan
Gold Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC17601*NVAHZX
8
Limited Cost Sharing Plan Variation
Bronze Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC15301*XNVAHZO
11
Standard Bronze Off Exchange Plan
Bronze Elite+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC18301*NVAHZX
13