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Verified against CMS.gov · on April 2026 Plan ID: H3815-049 Cross-check on Medicare.gov →

Alignment Health My Choice Select (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
974 Drugs Covered
1 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 Imatinib Mesylate Brand Tier 5 $0.00 Details
2 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 1 $0.00 Details
3 Dicloxacillin Sodium Brand Tier 2 $0.00 Details
4 Leucovorin Calcium Brand Tier 3 $0.00 Details
5 Diltiazem Hydrochloride Brand Tier 2 $0.00 Details
6 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
7 TRUQAP capivasertib Brand Tier 5 $0.00 Details
8 Amoxicillin Brand Tier 1 $0.00 Details
9 ISENTRESS RALTEGRAVIR Brand Tier 5 $0.00 Details
10 Leucovorin Calcium Brand Tier 4 $0.00 Details
11 Chlorpromazine Hydrochloride Brand Tier 4 $0.00 Details
12 Ciprofloxacin Brand Tier 1 $0.00 Details
13 Tiagabine Hydrochloride Brand Tier 3 $0.00 Details
14 Chlorpromazine Hydrochloride Brand Tier 4 $0.00 Details
15 Loxapine Brand Tier 2 $0.00 Details
16 SCEMBLIX asciminib Brand Tier 5 $0.00 Details
17 Xalkori CRIZOTINIB Brand Tier 5 $0.00 Details
18 COARTEM artemether and lumefantrine Brand Tier 4 $0.00 Details
19 Abrysvo Respiratory Syncytial Virus Vaccine Brand Tier 1 $0.00 Details
20 ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban Brand Tier 3 $0.00 Details

Showing 20 of 974 covered drugs.

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States Served (1)

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

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