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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H4346-017 Cross-check on Medicare.gov →

Anthem Medicare Advantage (HMO-POS)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$50.00 Annual Deductible
1,017 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 Nefazodone Hydrochloride Brand Tier 2 $0.00 Details
2 Diltiazem Hydrochloride Brand Tier 2 $0.00 Details
3 Fluphenazine Hydrochloride Brand Tier 2 $0.00 Details
4 Haloperidol Brand Tier 2 $0.00 Details
5 Phenobarbital Brand Tier 2 $0.00 Details
6 EVOTAZ atazanavir and cobicistat Brand Tier 5 0.3% coinsurance Details
7 Mercaptopurine Brand Tier 2 $0.00 Details
8 Buspirone Hydrochloride Brand Tier 2 $0.00 Details
9 Metoprolol Tartrate metoprolol tartrate Brand Tier 1 $0.00 Details
10 Daurismo glasdegib Brand Tier 5 0.3% coinsurance Details
11 Ciprofloxacin Brand Tier 1 $0.00 Details
12 CALQUENCE acalabrutinib Brand Tier 5 0.3% coinsurance Details
13 Cyclosporine Modified Modified Cyclosporine Brand Tier 2 $0.00 Details
14 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 $0.00 Details
15 Calcipotriene Brand Tier 4 0.3% coinsurance Details
16 COARTEM artemether and lumefantrine Brand Tier 4 0.3% coinsurance Details
17 DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate Brand Tier 5 0.3% coinsurance Details
18 Heparin Sodium Brand Tier 2 $0.00 Details
19 Pyridostigmine Bromide PYRIDOSTIGMINE BROMIDE Brand Tier 2 $0.00 Details
20 Linzess linaclotide Brand Tier 3 0.3% coinsurance Details

Showing 20 of 1,017 covered drugs.

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States Served (1)

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

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