2027 · Los Angeles County · Exact prescription comparison

2027 Metformin 500 mg and Eliquis 5 mg coverage in Los Angeles County, CA

Compare both exact oral tablets together across 2027 general-enrollment Medicare Advantage plans with Part D, retaining each prescription’s restrictions.

CMS coverage checked October 15, 2026 · 65 general-enrollment MA-PD listings

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65plans list both exact products

0do not list both products

0plans with unavailable data

Exact prescriptions checked

Coverage below applies to the following RxNorm products. Other strengths, forms, brands and combination products require a separate check.

Metformin hydrochloride 500 mg oral tabletmetformin hydrochloride 500 MG Oral TabletRxNorm product identifier: 861007
Eliquis (apixaban) 5 mg oral tabletapixaban 5 MG Oral Tablet [Eliquis]RxNorm product identifier: 1364447

0 plans report prior authorization for at least one selected product; 0 report step therapy; 63 report a quantity limit. These counts can overlap and do not establish approval for an individual.

Plan-by-plan coverage

Listed coverage, tiers and restrictions

All 65 local plans in this comparison appear below. Plans listing every selected product appear first, followed by other results. The order and tier numbers are not a comparison of total costs.

Prior authorization means plan approval may be required. Step therapy can require another treatment first. Quantity limits describe the reported amount and supply period.

2027 Metformin 500 mg + Eliquis 5 mg · Los Angeles County · CMS checked October 15, 2026
Plan and identifier	Metformin hydrochloride 500 mg oral tablet	Eliquis (apixaban) 5 mg oral tablet
AARP Medicare Advantage from UHC CA-003P (HMO-POS)H0543-151-0 · UnitedHealthcare · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 60 per 30 days
AARP Medicare Advantage from UHC CA-004P (HMO-POS)H0543-168-0 · UnitedHealthcare · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 60 per 30 days
AARP Medicare Advantage from UHC CA-34P (HMO-POS)H0543-255-0 · UnitedHealthcare · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 60 per 30 days
AARP Medicare Advantage from UHC CA-45 (HMO-POS)H0543-260-0 · UnitedHealthcare · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 60 per 30 days
AARP Medicare Advantage Giveback from UHC CA-30P (HMO-POS)H0543-236-0 · UnitedHealthcare · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 60 per 30 days
Advantage Care (HMO)H3274-005-0 · Align Senior Care · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 74 per 30 days
Aetna Medicare Prime (HMO)H0523-085-0 · Aetna Medicare · HMO	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Aetna Medicare Prime Extra (HMO)H4982-025-0 · Aetna Medicare · HMO	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Aetna Medicare Signature (HMO)H4982-001-0 · Aetna Medicare · HMO	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Aetna Medicare Signature Extra (HMO)H0523-086-0 · Aetna Medicare · HMO	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Aetna Medicare Signature Legacy (HMO)H0523-022-0 · Aetna Medicare · HMO	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health Advantage 001 (PPO)H8832-001-0 · Alignment Health Plan · PPO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health Advantage 005 (PPO)H8832-005-0 · Alignment Health Plan · PPO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health BRIDGE 003 (HMO)H6697-003-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health Honor Plus 060 (HMO)H3815-060-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health My Choice 001 (HMO)H3815-001-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health My Choice 050 (HMO)H3815-050-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health Platinum + Instacart 008 (HMO)H3815-008-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health Smart 013 (HMO)H3815-013-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health Smart 047 (HMO)H3815-047-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health Smart 055 (HMO)H3815-055-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Alignment Health ValorCare 053 (HMO)H3815-053-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Anthem I CareMore Medicare Advantage (HMO-POS)H4161-011-0 · Anthem Blue Cross Partnership Plan · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Anthem I CareMore Medicare Advantage 2 (HMO-POS)H0544-002-0 · Anthem Blue Cross · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Anthem I CareMore Premium Savings (HMO-POS)H4161-012-0 · Anthem Blue Cross Partnership Plan · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Anthem Medicare Advantage (HMO-POS)H0544-061-0 · Anthem Blue Cross · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Anthem Prime (HMO-POS)H4161-009-0 · Anthem Blue Cross Partnership Plan · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Anthem Select (HMO-POS)H0544-058-0 · Anthem Blue Cross · HMO-POS	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Astiva Health Savings Plan (HMO)H1993-001-0 · Astiva Health · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Blue Shield 65 Plus (HMO)H0504-015-0 · Blue Shield of California · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
Blue Shield 65 Plus Plan 2 (HMO)H0504-021-0 · Blue Shield of California · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
Blue Shield Advantage (HMO)H0504-054-0 · Blue Shield of California · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
Blue Shield AdvantageOptimum Plan (HMO)H5928-004-0 · Blue Shield of California · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
Blue Shield Inspire (HMO)H0504-043-0 · Blue Shield of California · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
Blue Shield Value Advantage Plan (HMO)H0504-056-0 · Blue Shield of California · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
CareMore Health Plan by SCAN (HMO)H5425-152-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
Central Health Harmony 001 (HMO)H6697-001-0 · Alignment Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Champion Ally (HMO)H6170-007-0 · Champion Heath Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Clever Care Longevity (HMO)H7607-014-0 · Clever Care Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Clever Care Value (HMO)H7607-015-0 · Clever Care Health Plan · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Elite Core HMO (HMO)H6368-002-0 · Elite Health Plan, Inc. · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Elite Signature HMO (HMO)H6368-001-0 · Elite Health Plan, Inc. · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Humana Gold Plus Giveback H5619-146 (HMO)H5619-146-0 · Humana · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 74 per 30 days
Humana Gold Plus H3767-002 (HMO)H3767-002-0 · Humana · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 74 per 30 days
Humana Gold Plus H5619-021 (HMO)H5619-021-0 · Humana · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 74 per 30 days
Humana USAA Honor Giveback with Rx (PPO)H5525-057-0 · Humana · PPO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 74 per 30 days
HumanaChoice H5525-074 (PPO)H5525-074-0 · Humana · PPO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 74 per 30 days
HumanaChoice H5525-075 (PPO)H5525-075-0 · Humana · PPO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 74 per 30 days
Imperial Dynamic Plan (HMO)H5496-012-0 · Imperial Health Plan of California, Inc. · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)H0524-003-0 · Kaiser Permanente · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3No PA, step therapy or quantity limit reported
Kaiser Permanente Sr Advantage LA, Orange Value (HMO)H0524-078-0 · Kaiser Permanente · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3No PA, step therapy or quantity limit reported
SCAN Allied (HMO)H5425-123-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
SCAN Baekse (HMO)H5425-155-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
SCAN Classic (HMO)H5425-006-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
SCAN Costco Medicare Advantage (HMO)H5425-142-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
SCAN Essential Savings (HMO)H5425-133-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
SCAN Inclusive (HMO)H5425-158-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
SCAN Inspired by women for women (HMO)H5425-100-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
SCAN Prime (HMO)H5425-065-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
SCAN Venture (HMO)H5425-084-0 · SCAN Health Plan · HMO	Listed Tier 1No PA, step therapy or quantity limit reported	Listed Tier 3Quantity limit: 60 per 30 days
UCLA Health Medicare Advantage Prestige Plan (HMO)H4647-002-0 · UCLA Health Medicare Advantage Plan · HMO	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
UCLA Health Medicare Advantage Principal Plan (HMO)H4647-001-0 · UCLA Health Medicare Advantage Plan · HMO	Listed Tier 1Quantity limit: 150 per 30 days	Listed Tier 3Quantity limit: 74 per 30 days
Wellcare Low Premium (HMO)H0562-136-0 · Wellcare · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 2Quantity limit: 74 per 30 days
Wellcare Simple (HMO)H5087-005-0 · Wellcare · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 2Quantity limit: 74 per 30 days
Wellcare Simple Focus (HMO)H0562-125-0 · Wellcare · HMO	Listed Tier 6Quantity limit: 150 per 30 days	Listed Tier 2Quantity limit: 74 per 30 days

Continue your prescription review

Use the Los Angeles County prescription checker for a different strength, form or personal list. The checker uses the same published coverage snapshot and keeps prescription selections in your browser tab.

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How to read these coverage results

Listed: The exact product appears in the available CMS formulary, indication-based or supplemental coverage data. Prior authorization, step therapy, quantity limits or covered-use conditions can still apply.
Not listed in this CMS snapshot: The exact product was not found after checking the available source tables for that plan. Other strengths, forms or brands are separate products. This status is not an individual coverage denial.
Unable to determine: A plan mapping or source detail is missing, suppressed or unavailable. Unavailable data is never treated as proof that a drug is excluded.

Tier numbers and tier structures vary by plan. A lower tier is not a comparison of total spending. Supplemental drug coverage is labeled separately from basic formulary entries; reported indication-specific coverage must be confirmed for the intended use.

These tables cover general-enrollment Medicare Advantage plans with Part D listed for Los Angeles County. SNPs, standalone Part D plans and plans without Part D are outside this comparison. Use the county lookup’s plan-group selector for other categories.

Formulary and plan information were checked October 15, 2026. Local plan listings use the September landscape checked September 30, 2026; drug names use the October 5, 2026 RxNorm release. These are published snapshots, not live carrier coverage or verified enrollment availability. A listing does not guarantee approval or coverage for every use. Pharmacy networks and medication cost estimates are not included.

Before making a coverage decision, confirm the exact prescription, covered use, current restrictions and plan availability in Medicare Plan Finder or the plan’s current documents.

Exact prescriptions checked

Listed coverage, tiers and restrictions

Continue your prescription review

How to read these coverage results

Sources and field definitions