2027 · King County · Exact prescription comparison

2027 Metformin 500 mg and Eliquis 5 mg coverage in King County, WA

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 · 22 general-enrollment MA-PD listings

See plan coverage Compare your own prescription list
22plans 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; 19 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 22 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 · King County · CMS checked October 15, 2026
Plan and identifierMetformin hydrochloride 500 mg oral tabletEliquis (apixaban) 5 mg oral tablet
AARP Medicare Advantage from UHC WA-0005 (HMO-POS)H3805-015-0 · UnitedHealthcare · HMO-POS Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 60 per 30 days
AARP Medicare Advantage from UHC WA-14 (HMO-POS)H3805-044-0 · UnitedHealthcare · HMO-POS Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 60 per 30 days
AARP Medicare Advantage from UHC WA-18 (PPO)H2001-146-0 · UnitedHealthcare · PPO Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 60 per 30 days
AARP Medicare Advantage from UHC WA-6 (HMO-POS)H3805-017-0 · UnitedHealthcare · HMO-POS Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 60 per 30 days
AARP Medicare Advantage from UHC WA-7 (HMO-POS)H3805-032-0 · UnitedHealthcare · HMO-POS Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 60 per 30 days
Aetna Medicare Enhanced (PPO)H5521-687-0 · Aetna Medicare · PPO Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 74 per 30 days
Aetna Medicare Signature (HMO)H3748-003-0 · Aetna Medicare · HMO Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 74 per 30 days
Aetna Medicare Signature (PPO)H5521-431-0 · Aetna Medicare · PPO Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 74 per 30 days
DEVOTED CORE 001 WA (HMO)H3515-001-0 · Devoted Health · HMO Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 74 per 30 days
DEVOTED GIVEBACK 002 WA (HMO)H3515-002-0 · Devoted Health · HMO Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 74 per 30 days
DEVOTED GIVEBACK EXTRAS 022 WA (HMO)H3515-022-0 · Devoted Health · HMO Listed
  • Tier 1Quantity limit: 150 per 30 days
 Listed
  • Tier 3Quantity limit: 74 per 30 days
Humana Gold Plus H1036-321 (HMO)H1036-321-0 · Humana · HMO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3Quantity limit: 74 per 30 days
Humana Gold Plus H5619-057 (HMO)H5619-057-0 · Humana · HMO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3Quantity limit: 74 per 30 days
Humana Gold Plus H5619-061 (HMO)H5619-061-0 · Humana · HMO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3Quantity limit: 74 per 30 days
Humana Value Choice (PPO)H5216-428-1 · Humana · PPO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3Quantity limit: 74 per 30 days
HumanaChoice H5216-048 (PPO)H5216-048-0 · Humana · PPO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3Quantity limit: 74 per 30 days
HumanaChoice H7617-016 (PPO)H7617-016-0 · Humana · PPO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3Quantity limit: 74 per 30 days
Kaiser Permanente Medicare Advantage Essential Kng (HMO)H5050-024-0 · 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 Medicare Advantage Key King (HMO)H5050-028-0 · 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 Medicare Advantage Optimal (HMO)H5050-004-0 · Kaiser Permanente · HMO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3No PA, step therapy or quantity limit reported
Regence BlueAdvantage HMO (HMO)H1997-014-0 · Regence BlueShield · HMO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3Quantity limit: 74 per 30 days
Regence MedAdvantage + Rx Enhanced (PPO)H5009-002-0 · Regence BlueShield · PPO Listed
  • Tier 1No PA, step therapy or quantity limit reported
 Listed
  • Tier 3Quantity limit: 74 per 30 days

Continue your prescription review

Use the King 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.

Browse the King County prescription coverage guide or explore another selected comparison:

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 King 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.

Sources and field definitions