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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H5883-014 Cross-check on Medicare.gov →

BCN Advantage Prime Value (HMO-POS)

Plan Year 2026
$9.60 /month
Monthly Premium
Among the lowest-premium plans in 2026
$150.00 Annual Deductible
899 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 Clonidine Hydrochloride Brand Tier 2 $5.00 Details
2 Potassium Chloride potassium chloride Brand Tier 2 $5.00 Details
3 Sodium Chloride Brand Tier 4 0.3% coinsurance Details
4 Gentamicin Sulfate Brand Tier 3 0.2% coinsurance Details
5 Calcipotriene Brand Tier 3 0.2% coinsurance Details
6 Cefuroxime Brand Tier 4 0.3% coinsurance Details
7 bexarotene Brand Tier 5 0.3% coinsurance Details
8 Depo-SubQ Provera medroxyprogesterone acetate Brand Tier 3 0.2% coinsurance Details
9 Spiriva Respimat tiotropium bromide inhalation spray Brand Tier 3 0.2% coinsurance Details
10 Amoxapine Brand Tier 3 0.2% coinsurance Details
11 amiloride hydrochloride Brand Tier 3 0.2% coinsurance Details
12 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
13 PIFELTRO doravirine Brand Tier 5 0.3% coinsurance Details
14 Propranolol Hydrochloride propranolol hydrochloride Brand Tier 3 0.2% coinsurance Details
15 ISENTRESS RALTEGRAVIR Brand Tier 5 0.3% coinsurance Details
16 Isoniazid Brand Tier 2 $5.00 Details
17 Risperidone Brand Tier 4 0.3% coinsurance Details
18 REYATAZ ATAZANAVIR Brand Tier 5 0.3% coinsurance Details
19 Venlafaxine Hydrochloride Brand Tier 2 $5.00 Details
20 PredniSONE Brand Tier 2 $5.00 Details

Showing 20 of 899 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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