Medication Search for Plans in Ohio

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

View 2025 $0 Drug List

$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

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Standard Silver On Exchange Plan

Silver Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC23701*XNVAHOO

Standard Bronze On Exchange Plan

Bronze Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC23401*XNVAHOO

Standard Silver On Exchange Plan

Silver Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC21501*XNVAHOO

Standard Catastrophic On Exchange Plan

Catastrophic Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC23301*XNVAHOO

Standard Gold On Exchange Plan

Gold Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24301*XNVAHOO

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=PUBLIC21201*XNVAHOO

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=PUBLIC22101*XNVAHOO

Standard Bronze On Exchange Plan

Bronze Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24601*XNVAHOO

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=PUBLIC24901*XNVAHOO

Standard Silver On Exchange Plan

Silver Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC25201*XNVAHOO

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=PUBLIC25801*XNVAHOO

Zero Cost Sharing Plan Variation

Bronze Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC23501*XNVAHOO

73% AV Level Silver Plan

Silver Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24001*XNVAHOO

Standard Catastrophic Off Exchange Plan

Catastrophic Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC27601*NVAHOX

Zero Cost Sharing Plan Variation

Gold Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24401*XNVAHOO

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=PUBLIC21301*XNVAHOO

73% AV Level Silver Plan

Silver Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC21801*XNVAHOO

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=PUBLIC22401*XNVAHOO

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=PUBLIC25001*XNVAHOO

Zero Cost Sharing Plan Variation

Bronze Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24701*XNVAHOO

73% AV Level Silver Plan

Silver Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC25501*XNVAHOO

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=PUBLIC26101*XNVAHOO

Limited Cost Sharing Plan Variation

Bronze Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC23601*XNVAHOO

Limited Cost Sharing Plan Variation

Gold Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24501*XNVAHOO

87% AV Level Silver Plan

Silver Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24101*XNVAHOO

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=PUBLIC21401*XNVAHOO

87% AV Level Silver Plan

Silver Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC21901*XNVAHOO

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=PUBLIC22501*XNVAHOO

Limited Cost Sharing Plan Variation

Bronze Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24801*XNVAHOO

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=PUBLIC26201*XNVAHOO

87% AV Level Silver Plan

Silver Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC25601*XNVAHOO

Standard Silver Off Exchange Plan

Silver Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC27801*NVAHOX

Standard Bronze Off Exchange Plan

Bronze Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC27701*NVAHOX

Standard Gold Off Exchange Plan

Gold Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC27901*NVAHOX

Standard Silver Off Exchange Plan

Silver Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC28601*NVAHOX

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=PUBLIC27101*NVAHOX

94% AV Level Silver Plan

Silver Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC22001*XNVAHOO

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=PUBLIC22601*XNVAHOO

Standard Bronze Off Exchange Plan

Bronze Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC28001*NVAHOX

94% AV Level Silver Plan

Silver Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC25701*XNVAHOO

94% AV Level Silver Plan

Silver Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC24201*XNVAHOO

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=PUBLIC26301*XNVAHOO

Standard Silver Off Exchange Plan

Silver Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC28901*NVAHOX

Limited Cost Sharing Plan Variation

Silver Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC23901*XNVAHOO

Standard Bronze On Exchange Plan

Bronze Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC20901*XNVAHOO

Limited Cost Sharing Plan Variation

Silver Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC21701*XNVAHOO

Standard Gold On Exchange Plan

Gold Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC22701*XNVAHOO

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=PUBLIC23001*XNVAHOO

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=PUBLIC22301*XNVAHOO

Limited Cost Sharing Plan Variation

Silver Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC25401*XNVAHOO

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=PUBLIC26001*XNVAHOO

Zero Cost Sharing Plan Variation

Silver Standard

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC23801*XNVAHOO

Zero Cost Sharing Plan Variation

Bronze Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC21001*XNVAHOO

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=PUBLIC22201*XNVAHOO

Zero Cost Sharing Plan Variation

Silver Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC21601*XNVAHOO

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=PUBLIC23101*XNVAHOO

Zero Cost Sharing Plan Variation

Gold Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC22801*XNVAHOO

Zero Cost Sharing Plan Variation

Silver Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC25301*XNVAHOO

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=PUBLIC25901*XNVAHOO

Limited Cost Sharing Plan Variation

Bronze Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC21101*XNVAHOO

Limited Cost Sharing Plan Variation

Gold Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC22901*XNVAHOO

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=PUBLIC23201*XNVAHOO

Standard Silver Off Exchange Plan

Silver Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC27201*NVAHOX

Standard Bronze Off Exchange Plan

Bronze Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC27001*NVAHOX

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=PUBLIC27301*NVAHOX

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=PUBLIC27501*NVAHOX

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=PUBLIC28801*NVAHOX

Standard Gold Off Exchange Plan

Gold Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC27401*NVAHOX

Standard Silver Off Exchange Plan

Silver Complete

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC28701*NVAHOX

Standard Gold On Exchange Plan

Gold Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC26401*XNVAHOO

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=PUBLIC26701*XNVAHOO

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=PUBLIC26801*XNVAHOO

Zero Cost Sharing Plan Variation

Gold Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC26501*XNVAHOO

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=PUBLIC25101*XNVAHOO

Limited Cost Sharing Plan Variation

Gold Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC26601*XNVAHOO

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=PUBLIC26901*XNVAHOO

Standard Silver Off Exchange Plan

Silver Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC28201*NVAHOX

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=PUBLIC28301*NVAHOX

Standard Gold Off Exchange Plan

Gold Elite

https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC28401*NVAHOX

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=PUBLIC28501*NVAHOX

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=PUBLIC29001*NVAHOX

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=PUBLIC28101*NVAHOX