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Verified against CMS.gov · on April 2026 Plan ID: H8385-001 Cross-check on Medicare.gov →

Align ChoiceElite (PPO)

Plan Year 2026
$55.70 /month
Monthly Premium
$300.00 Annual Deductible
1,003 Drugs Covered
2 States Served

Top Covered Drugs

Most popular medications covered by this plan, ordered by national search frequency. Click any drug to see exact copay, restrictions, and alternatives.

# Drug Name Type Tier 30-Day Copay
1 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
2 RotaTeq Rotavirus Vaccine, Live, Oral, Pentavalent Brand Tier 3 $42.00 Details
3 PIQRAY alpelisib Brand Tier 5 0.3% coinsurance Details
4 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
5 Clotrimazole clotrimazole Brand Tier 3 $42.00 Details
6 Imatinib Mesylate Brand Tier 4 0.5% coinsurance Details
7 Dicyclomine Hydrochloride Brand Tier 2 $4.00 Details
8 Verzenio abemaciclib Brand Tier 5 0.3% coinsurance Details
9 KISQALI ribociclib Brand Tier 5 0.3% coinsurance Details
10 Buspirone Hydrochloride Brand Tier 1 $0.00 Details
11 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
12 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
13 ZEJULA niraparib Brand Tier 5 0.3% coinsurance Details
14 Risperidone Brand Tier 4 0.5% coinsurance Details
15 Gilotrif afatinib Brand Tier 5 0.3% coinsurance Details
16 Clozapine Brand Tier 4 0.5% coinsurance Details
17 Phenobarbital Brand Tier 4 0.5% coinsurance Details
18 Prograf Tacrolimus Brand Tier 4 0.5% coinsurance Details
19 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
20 Diazepam Intensol Brand Tier 2 $4.00 Details

Showing 20 of 1,003 covered drugs.

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States Served (2)

This plan is available to Medicare beneficiaries in the following states.

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