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Verified against CMS.gov · on April 2026 Plan ID: H9525-013 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
$230.00 Annual Deductible
1,022 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 Medroxyprogesterone Acetate Brand Tier 1 $0.00 Details
2 Aprepitant aprepitant Brand Tier 5 0.3% coinsurance Details
3 Nefazodone Hydrochloride Brand Tier 4 0.3% coinsurance Details
4 Levothyroxine Sodium levothyroxine sodium Brand Tier 6 $0.00 Details
5 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
6 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 6 $0.00 Details
7 Acamprosate Calcium acamprosate calcium enteric-coated Brand Tier 4 0.3% coinsurance Details
8 Dexamethasone Brand Tier 2 $0.00 Details
9 Pioglitazone Brand Tier 6 $0.00 Details
10 Methotrexate Brand Tier 2 $0.00 Details
11 BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN Brand Tier 6 $0.00 Details
12 Buspirone Hydrochloride Brand Tier 2 $0.00 Details
13 Prochlorperazine Brand Tier 4 0.3% coinsurance Details
14 Pioglitazone Brand Tier 6 $0.00 Details
15 ISENTRESS RALTEGRAVIR Brand Tier 4 0.3% coinsurance Details
16 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.3% coinsurance Details
17 Propranolol Hydrochloride propranolol hydrochloride Brand Tier 1 $0.00 Details
18 Clozapine Brand Tier 4 0.3% coinsurance Details
19 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 6 $0.00 Details
20 Everolimus Brand Tier 4 0.3% coinsurance Details

Showing 20 of 1,022 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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States Served (1)

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

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