Advantage Plans Drugs-2025
Maricopa County, Arizona
| Plan Name | Tier 1 Copay | Tier 2 Copay | Tier 3 Copay | Tier 4 Copay | Tier 5 Copay | Deductible | Max Cost |
|---|---|---|---|---|---|---|---|
| AARP UHC AZ-002P | 0 | 8 | 47 | 100 | 29% | Tier 3-5 340 | 2,000 |
| AARP UHC AZ-2 | 0 | 10 | 47 | 100 | 29% | Tier 3-5 340 | 2,000 |
| AARP UHC AZ-5 | 0 | 12 | 47 | 100 | 28% | Tier 3-5 420 | 2,000 |
| Aetna Elite | 0 | 0 | 24% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Aetna Freedom | 0 | 0 | 24% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Aetna Platinum | 0 | 0 | 24% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Aetna Prime | 0 | 0 | 24% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Aetna Premier | 0 | 0 | 24% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Aetna Prime Plus | 0 | 0 | 24% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Aetna Prime Value Plus | 0 | 0 | 24% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Aetna SilverScript Choice (1) | 5 | 10 | 19% | 32% | 25% | 0 | 2,000 |
| Alignment Health One+ | 0 | 3 | 45 | 100 | 33% | 0 | 2,000 |
| Alignment Health SmartHMO | 0 | 0 | 30 | 90 | 25% | Tier 3-5 590 | 2,000 |
| Banner Prime | 0 | 5 | 47 | 100 | 33% | 0 | 2,000 |
| Blue Cross Classic | 0 | 9 | 47 | 100 | 33% | 0 | 2,000 |
| Blue Cross Best Life Plus | 0 | 9 | 47 | 100 | 33% | 0 | 2,000 |
| Cigna Achieve | 0 | 5 | 47 | 100 | 33% | 0 | 2,000 |
| Cigna Alliance | 0 | 5 | 47 | 100 | 33% | 0 | 2,000 |
| Cigna Preferred | 0 | 5 | 47 | 100 | 33% | 0 | 2,000 |
| Cigna Preferred Savings | 0 | 0 | 47 | 100 | 33% | 0 | 2,000 |
| Cigna Preferred Full Savings | 0 | 0 | 47 | 100 | 33% | 0 | 2,000 |
| Cigna True Choice | 0 | 5 | 47 | 100 | 33% | 0 | 2,000 |
| Cigna True Choice Savings | 0 | 5 | 47 | 100 | 33% | 0 | 2,000 |
| Devoted Choice | 0 | 10 | 25% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Devoted Giveback | 0 | 5 | 25% | 25% | 25% | Tier 3-5 590 | 2,000 |
| Devoted Core | 0 | 5 | 25% | 25% | 25% | Tier 3-5 590 | 2,000 |
| eternalHealth Grand | 0 | 5 | 45 | 28% | 30% | Tier 4-5 400 | 2,000 |
| eternalHealth Horizon | 0 | 5 | 45 | 28% | 30% | Tier 4-5 200 | 2,000 |
| Gold Kidney AZ Advantage | 0 | 5 | 47 | 100 | 33% | 0 | 2,000 |
| Humana Choice (002) | 24% | 25% | 25% | 25% | 25% | 590 | No Limit |
| Humana Choice (034) | 5 | 15 | 45 | 48% | 285 | Tier 3-5 400 | 2,000 |
| Humana Choice (224) | 0 | 10 | 47 | 40% | 30% | Tier 3-5 250 | 2,000 |
| Humana Choice (265) | 0 | 8 | 47 | 40% | 29% | Tier 4-5 300 | 2,000 |
| Humana Choice (371) | 0 | 4 | 47 | 50% | 33% | 0 | 2,000 |
| Humana Choice (435) | 0 | 0 | 30 | 35% | 26% | 0 | 2,000 |
| Humana Choice (439) | 0 | 5 | 47 | 40% | 29% | Tier 4-5 300 | 2,000 |
| Humana Gold Plus (023) | 3 | 7 | 45 | 49% | 30% | Tier 3-5 225 | 2,000 |
| Humana Gold Plus (027) | 2 | 10 | 45 | 50% | 33% | 0 | 2,000 |
| Humana Gold Plus (028) | 5 | 15 | 47 | 50% | 30% | Tier 3-5 225 | 2,000 |
| Humana Gold Plus (074) | 0 | 8 | 47 | 50% | 33% | 0 | 2,000 |
| Humana Value Plus | 18 | 19 | 21% | 25% | 25% | 545 | 8,000 |
| Humana USAA Honor with Rx | 0 | 0 | 30 | 35% | 27% | 0 | 2,000 |
| Humana Value Rx | 1 | 3 | 20% | 35% | 26% | Tier 3-5 573 | 2,000 |
| Humana Basic Rx | 2 | 3 | 22% | 45% | 25% | 590 | 2,000 |
| Scan Classic | 0 | 0 | 42 | 50% | 33% | 0 | 2,000 |
| Scan MyChoice | 0 | 0 | 42 | 50% | 33% | 0 | 2,000 |
| Scan Venture | 0 | 0 | 42 | 50% | 33% | 0 | 2,000 |
| Wellcare Simple | 0 | 0 | 25% | 41% | 28% | Tier 3-5 420 | 2,000 |
| Wellcare Simple Open | 0 | 0 | 25% | 44% | 28% | Tier 3-5 420 | 2,000 |
| Wellcare Simple Value | 0 | 0 | 25% | 43% | 28% | Tier 3-5 420 | 2,000 |
| Wellcare Giveback | 0 | 0 | 25% | 36% | 28% | Tier 3-5 420 | 2,000 |
| Wellpoint | 0 | 3 | 20% | 35% | 33% | 0 | 2,000 |