Medication Search for Plans in Texas

Drug List

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 High Blood Pressure Medications:

  • AMLODIPINE
  • ATENOLOL
  • ATENOLOL/CHLORTHALIDONE
  • BENAZEPRIL
  • BICALUTAMIDE
  • BISOPROLOL
  • BUMETANIDE
  • CARVEDILOL
  • CHLORTHALIDONE
  • CLONIDINE
  • DILTIAZEM ER CAP
  • DILTIAZEM
  • DOXAZOSIN
  • ENALAPRIL
  • ENALAPRIL/HYDROCHLOROTHIAZIDE
  • FELODIPINE ER
  • FOSINOPRIL
  • FUROSEMIDE
  • HYDROCHLOROTHIAZIDE CAP
  • HYDROCHLOROTHIAZIDE
  • INDAPAMIDE
  • IRBESARTAN
  • IRBESARTAN/HYDROCHLOROTHIAZIDE
  • LABETALOL
  • LISINOPRIL
  • LISINOPRIL/HYDROCHLOROTHIAZIDE
  • LOSARTAN
  • LOSARTAN/HYDROCHLOROTHIAZIDE
  • METOPROLOL ER
  • METOPROLOL
  • NEBIVOLOL HCL
  • NIFEDIPINE ER
  • OLMESARTAN
  • OLMESARTAN/HYDROCHLOROTHIAZIDE
  • PRAZOSIN CAP
  • PROPRANOLOL ER CAP
  • PROPRANOLOL
  • QUINAPRIL
  • RAMIPRIL CAP
  • SPIRONOLACTONE
  • SPIRONOLACTONE/HYDROCHLOROTHIAZIDE
  • TELMISARTAN
  • TERAZOSIN CAP
  • TORSEMIDE
  • TRIAMTERENE/HYDROCHLOROTHIAZIDE CAP
  • TRIAMTERENE/HYDROCHLOROTHIAZIDE
  • VALSARTAN

$0 Diabetes Medications:

  • ACARBOSE
  • B-D INSULIN SYRINGE
  • GLIMEPIRIDE
  • GLIPIZIDE ER
  • GLIPIZIDE
  • GLIPIZIDE/METFORMIN
  • GLYBURIDE
  • GLYBURIDE/METFORMIN
  • GLYBURIDE MCR
  • GLYNASE
  • HUMALOG JR KWIKPEN INJ
  • HUMALOG MIX INJ
  • HUMALOG PEN INJ
  • HUMULIN MIX INJ
  • HUMULIN MIX PEN INJ
  • HUMULIN N INJ
  • HUMULIN N PEN INJ
  • HUMULIN R INJ
  • INSULIN LISPRO INJ
  • INSULIN LISPRO JR
  • KWIKPEN INJ
  • INSULIN LISPRO KWIKPEN INJ
  • METFORMIN ER
  • METFORMIN
  • PIOGLITAZONE
  • SEMGLEE INJ, INSULIN GLARGINE-YFGN INJ
  • SEMGLEE PEN, INSULIN GLARGINE-YFGN PEN

$0 Heart and Cholesterol Medications:

  • AMIODARONE
  • ATORVASTATIN
  • DIGOXIN
  • FENOFIBRATE CAP 67MG, 134MG, 200MG
  • FENOFIBRATE 48MG, 54MG, 145MG, 160MG
  • GEMFIBROZIL
  • ISOSORBIDE DINITRATE
  • ISOSORBIDE MONONITRATE ER
  • LETROZOLE
  • LOVASTATIN
  • NIACIN ER
  • NITROGLYCERIN PATCH
  • NITROGLYCERIN SL
  • PRAVASTATIN
  • RANOLAZINE
  • ROSUVASTATIN
  • SIMVASTATIN
  • SOTALOL AF
  • SOTALOL
  • VERAPAMIL SR CAP
  • VERAPAMIL SR
  • VERAPAMIL
  • WARFARIN

$0 Antidepressant Medications:

  • BUPROPION ER
  • BUPROPION XL
  • BUSPIRONE
  • CITALOPRAM
  • DULOXETINE EC CAP
  • ESCITALOPRAM
  • FLUOXETINE CAP
  • FLUVOXAMINE
  • MIRTAZAPINE
  • PAROXETINE
  • SERTRALINE
  • VENLAFAXINE ER CAP

Other $0 Copay Medications:

  • AEROCHAMBER
  • ALENDRONATE
  • ANASTROZOLE
  • DIALYVITE
  • FLORIVA PLUS DROPS
  • FOLIC ACID 1MG
  • HYDROXYZINE
  • IBANDRONATE 150MG
  • LANCET KIT
  • LANCETS
  • MEGESTROL
  • MULTIVITAMIN/FLOURIDE CHEW 0.25MG
  • MULTIVITAMIN/FLOURIDE CHEW 1MG
  • MULTIVITAMIN/FLUORIDE CHEW
  • PEDIATRIC MULTIPLE
  • VITAMINS/FLUORIDE SOLN
  • PEDIATRIC MULTIPLE VITAMINS/FLUORIDE/IRON SOLN
  • RALOXIFENE
  • RISEDRONATE
  • TAMOXIFEN

‍

‍

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

‍$0 High Blood Pressure Medications:

  • BETAXOLOL TAB

$0 Diabetes Medications:

  • HUMALOG KWIKPEN INJ
  • HUMALOG MIX KWIKPEN
  • HUMALOG TEMPO PEN
  • HUMULIN R INJ U-500
  • HUMULIN R U-500 KWIKPEN INJ
  • INSULIN LISPRO MIX KWIKPEN
  • INSULIN GLARGINE INJ

Other $0 Copay Medications:

  • CALCITONIN NASAL SPRAY

How to search medications:

If you see “Not Covered,” explore other strengths before deciding. The initial option might not be covered by your plan. Check the Strength and Package dropdown for alternatives and generic versions.
  1. Choose your plan. Select both dropdowns, then select Search.
  2. Search for your medication. Type the name in the search box.
  3. Check the strength and package. Coverage can be different for each strength, form, and brand or generic version. The first one listed may not be covered.
  4. Open the dropdown. Select Strength and Package Selection to see every option. Generic versions are marked Generic.

Review each option. Check the coverage status and tier for each one you try.

At this time, when you click the orange "GET PRICES & PHARMACIES" button, it may not function as expected. Please call Navitus Customer Care at 844-268-9789. We are aware and are working to fix the issue.

‍

Two side-by-side screenshots of a medication selection interface showing a dropdown for strength and package selection; the left screen shows a collapsed dropdown with Alogliptin/Metformin Hcl Tablet selected, marked Not Covered, and the right screen shows an expanded dropdown with options for Metformin Hcl Tablet at 500 MG, 850 MG, and 1000 MG, labeled Generic.

Search our Medication List

Before searching, please read the instructions above.

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If you see “Not Covered,” explore other strengths before deciding. The initial option might not be covered by your plan. Check the Strength and Package dropdown for alternatives and generic versions.
Standard Bronze On Exchange Plan
Bronze Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300101*XNVAHTO
1
Standard Bronze Off Exchange Plan
Bronze Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300001*NVAHTX
2
Zero Cost Sharing Plan Variation
Bronze Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300201*XNVAHTO
3
Limited Cost Sharing Plan Variation
Bronze Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300101*XNVAHTO
4
Standard Bronze On Exchange Plan
Bronze Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300101*XNVAHTO
5
Standard Bronze Off Exchange Plan
Bronze Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300001*NVAHTX
6
Zero Cost Sharing Plan Variation
Bronze Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300201*XNVAHTO
7
Limited Cost Sharing Plan Variation
Bronze Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300101*XNVAHTO
8
Standard Bronze On Exchange Plan
Bronze Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300401*XNVAHTO
9
Standard Bronze Off Exchange Plan
Bronze Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300301*NVAHTX
10
Zero Cost Sharing Plan Variation
Bronze Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
11
Limited Cost Sharing Plan Variation
Bronze Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300401*XNVAHTO
12
Standard Bronze On Exchange Plan
Bronze Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300401*XNVAHTO
13
Standard Bronze Off Exchange Plan
Bronze Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300301*NVAHTX
14
Zero Cost Sharing Plan Variation
Bronze Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
15
Limited Cost Sharing Plan Variation
Bronze Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300401*XNVAHTO
16
Standard Bronze On Exchange Plan
Bronze Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300401*XNVAHTO
17
Standard Bronze Off Exchange Plan
Bronze Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300301*NVAHTX
18
Zero Cost Sharing Plan Variation
Bronze Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
19
Limited Cost Sharing Plan Variation
Bronze Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300401*XNVAHTO
20
Standard Bronze On Exchange Plan
Bronze Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300401*XNVAHTO
21
Standard Bronze Off Exchange Plan
Bronze Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300301*NVAHTX
22
Zero Cost Sharing Plan Variation
Bronze Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
23
Limited Cost Sharing Plan Variation
Bronze Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300401*XNVAHTO
24
Standard Bronze Off Exchange Plan
Bronze Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302301*NVAHTX
25
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=PUBLIC302301*NVAHTX
26
Standard Bronze Off Exchange Plan
Bronze Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC304801*NVAHTX
27
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=PUBLIC304901*NVAHTX
28
Standard Bronze On Exchange Plan
Bronze Elite $0 Deductible
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302701*XNVAHTO
29
Standard Bronze Off Exchange Plan
Bronze Elite $0 Deductible
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302601*NVAHTX
30
Zero Cost Sharing Plan Variation
Bronze Elite $0 Deductible
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
31
Limited Cost Sharing Plan Variation
Bronze Elite $0 Deductible
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302801*XNVAHTO
32
Standard Bronze On Exchange Plan
Bronze Elite+Dental $0 Deductible
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302701*XNVAHTO
33
Standard Bronze Off Exchange Plan
Bronze Elite+Dental $0 Deductible
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302601*NVAHTX
34
Zero Cost Sharing Plan Variation
Bronze Elite+Dental $0 Deductible
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
35
Limited Cost Sharing Plan Variation
Bronze Elite+Dental $0 Deductible
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302801*XNVAHTO
36
Standard Bronze On Exchange Plan
Bronze Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303801*XNVAHTO
37
Standard Bronze Off Exchange Plan
Bronze Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303701*NVAHTX
38
Zero Cost Sharing Plan Variation
Bronze Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303901*XNVAHTO
39
Limited Cost Sharing Plan Variation
Bronze Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303801*XNVAHTO
40
Standard Silver On Exchange Plan
Silver Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300701*XNVAHTO
41
Standard Silver Off Exchange Plan
Silver Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300601*NVAHTX
42
Zero Cost Sharing Plan Variation
Silver Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300201*XNVAHTO
43
Limited Cost Sharing Plan Variation
Silver Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300701*XNVAHTO
44
73% AV Level Silver Plan
Silver Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300801*XNVAHTO
45
87% AV Level Silver Plan
Silver Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC304401*XNVAHTO
46
94% AV Level Silver Plan
Silver Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300901*XNVAHTO
47
Standard Silver On Exchange Plan
Silver Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300701*XNVAHTO
48
Standard Silver Off Exchange Plan
Silver Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300601*NVAHTX
49
Zero Cost Sharing Plan Variation
Silver Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300201*XNVAHTO
50
Limited Cost Sharing Plan Variation
Silver Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300701*XNVAHTO
51
73% AV Level Silver Plan
Silver Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300801*XNVAHTO
52
87% AV Level Silver Plan
Silver Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC304501*XNVAHTO
53
94% AV Level Silver Plan
Silver Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300901*XNVAHTO
54
Standard Silver On Exchange Plan
Silver Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301101*XNVAHTO
55
Standard Silver Off Exchange Plan
Silver Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301001*NVAHTX
56
Zero Cost Sharing Plan Variation
Silver Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
57
Limited Cost Sharing Plan Variation
Silver Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301101*XNVAHTO
58
73% AV Level Silver Plan
Silver Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301201*XNVAHTO
59
87% AV Level Silver Plan
Silver Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301301*XNVAHTO
60
94% AV Level Silver Plan
Silver Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301401*XNVAHTO
61
Standard Silver On Exchange Plan
Silver Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301101*XNVAHTO
62
Standard Silver Off Exchange Plan
Silver Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301001*NVAHTX
63
Zero Cost Sharing Plan Variation
Silver Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
64
Limited Cost Sharing Plan Variation
Silver Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301101*XNVAHTO
65
73% AV Level Silver Plan
Silver Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301201*XNVAHTO
66
87% AV Level Silver Plan
Silver Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301301*XNVAHTO
67
94% AV Level Silver Plan
Silver Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301401*XNVAHTO
68
Standard Silver On Exchange Plan
Silver Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301101*XNVAHTO
69
Standard Silver Off Exchange Plan
Silver Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301001*NVAHTX
70
Zero Cost Sharing Plan Variation
Silver Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
71
Limited Cost Sharing Plan Variation
Silver Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301101*XNVAHTO
72
73% AV Level Silver Plan
Silver Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301201*XNVAHTO
73
87% AV Level Silver Plan
Silver Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301301*XNVAHTO
74
94% AV Level Silver Plan
Silver Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301401*XNVAHTO
75
Standard Silver On Exchange Plan
Silver Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301101*XNVAHTO
76
Standard Silver Off Exchange Plan
Silver Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301001*NVAHTX
77
Zero Cost Sharing Plan Variation
Silver Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
78
Limited Cost Sharing Plan Variation
Silver Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301101*XNVAHTO
79
73% AV Level Silver Plan
Silver Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301201*XNVAHTO
80
87% AV Level Silver Plan
Silver Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301301*XNVAHTO
81
94% AV Level Silver Plan
Silver Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301401*XNVAHTO
82
Standard Silver Off Exchange Plan
Silver Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302401*NVAHTX
83
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=PUBLIC302401*NVAHTX
84
Standard Silver On Exchange Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303001*XNVAHTO
85
Standard Silver Off Exchange Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302901*NVAHTX
86
Zero Cost Sharing Plan Variation
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
87
Limited Cost Sharing Plan Variation
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303001*XNVAHTO
88
73% AV Level Silver Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303101*XNVAHTO
89
87% AV Level Silver Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303201*XNVAHTO
90
94% AV Level Silver Plan
Silver Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303301*XNVAHTO
91
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=PUBLIC303001*XNVAHTO
92
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=PUBLIC302901*NVAHTX
93
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=PUBLIC300501*XNVAHTO
94
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=PUBLIC303001*XNVAHTO
95
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=PUBLIC303101*XNVAHTO
96
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=PUBLIC303201*XNVAHTO
97
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=PUBLIC303301*XNVAHTO
98
Standard Silver On Exchange Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC304101*XNVAHTO
99
Standard Silver Off Exchange Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC304001*NVAHTX
100
Zero Cost Sharing Plan Variation
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303901*XNVAHTO
101
Limited Cost Sharing Plan Variation
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC304101*XNVAHTO
102
73% AV Level Silver Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC305001*XNVAHTO
103
87% AV Level Silver Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC305101*XNVAHTO
104
94% AV Level Silver Plan
Silver Standard
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC305201*XNVAHTO
105
Standard Gold On Exchange Plan
Gold Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301601*XNVAHTO
106
Standard Gold Off Exchange Plan
Gold Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301501*NVAHTX
107
Zero Cost Sharing Plan Variation
Gold Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC304601*XNVAHTO
108
Limited Cost Sharing Plan Variation
Gold Essential
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301601*XNVAHTO
109
Standard Gold On Exchange Plan
Gold Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301801*XNVAHTO
110
Standard Gold Off Exchange Plan
Gold Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301701*NVAHTX
111
Zero Cost Sharing Plan Variation
Gold Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC304701*XNVAHTO
112
Limited Cost Sharing Plan Variation
Gold Essential+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301801*XNVAHTO
113
Standard Gold On Exchange Plan
Gold Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302001*XNVAHTO
114
Standard Gold Off Exchange Plan
Gold Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301901*NVAHTX
115
Zero Cost Sharing Plan Variation
Gold Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302101*XNVAHTO
116
Limited Cost Sharing Plan Variation
Gold Enhanced Diabetes
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302001*XNVAHTO
117
Standard Gold On Exchange Plan
Gold Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302001*XNVAHTO
118
Standard Gold Off Exchange Plan
Gold Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301901*NVAHTX
119
Zero Cost Sharing Plan Variation
Gold Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302101*XNVAHTO
120
Limited Cost Sharing Plan Variation
Gold Enhanced Diabetes+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302001*XNVAHTO
121
Standard Gold On Exchange Plan
Gold Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302001*XNVAHTO
122
Standard Gold Off Exchange Plan
Gold Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301901*NVAHTX
123
Zero Cost Sharing Plan Variation
Gold Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302101*XNVAHTO
124
Limited Cost Sharing Plan Variation
Gold Enhanced Blood Pressure Management
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302001*XNVAHTO
125
Standard Gold On Exchange Plan
Gold Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302001*XNVAHTO
126
Standard Gold Off Exchange Plan
Gold Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC301901*NVAHTX
127
Zero Cost Sharing Plan Variation
Gold Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302101*XNVAHTO
128
Limited Cost Sharing Plan Variation
Gold Enhanced Blood Pressure Management+Dental
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302001*XNVAHTO
129
Standard Gold Off Exchange Plan
Gold Complete
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC302501*NVAHTX
130
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=PUBLIC302501*NVAHTX
131
Standard Gold On Exchange Plan
Gold Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303501*XNVAHTO
132
Standard Gold Off Exchange Plan
Gold Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303401*NVAHTX
133
Zero Cost Sharing Plan Variation
Gold Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC300501*XNVAHTO
134
Limited Cost Sharing Plan Variation
Gold Elite
https://memberportal.navitus.com/micro-sites/pharmacy-pricing?entrypoint=drug&type=standard&header=false&footer=false&id=PUBLIC303601*XNVAHTO
135
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=PUBLIC303501*XNVAHTO
136
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=PUBLIC303401*NVAHTX
137
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=PUBLIC300501*XNVAHTO
138
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HMO health plans are offered and insured by Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Georgia, Inc., and Antidote Health Plan of Ohio, Inc. EPO health plans are offered and insured by Antidote Health Insurance Company of Texas. Please note: Antidote’s one-time and monthly telehealth subscription products are not a substitute for comprehensive health insurance. If you are seeking health insurance coverage, it must be purchased separately—either through Antidote in eligible states or from another licensed insurance provider. © 2026 Antidote Health Group, Inc. All rights reserved.