Blue adVantage Classic (HMO-POS)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$300.00
Annual Deductible
960
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 | Talzenna talazoparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 2 | Isoniazid | Brand | Tier 2 | $12.00 | Details |
| 3 | ZEJULA niraparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Budesonide | Brand | Tier 4 | 0.5% coinsurance | Details |
| 5 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 6 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
| 7 | Cobenfy xanomeline and trospium chloride | Brand | Tier 4 | 0.5% coinsurance | Details |
| 8 | Haloperidol | Brand | Tier 2 | $12.00 | Details |
| 9 | Leucovorin Calcium | Brand | Tier 3 | $45.00 | Details |
| 10 | Balsalazide Disodium | Brand | Tier 3 | $45.00 | Details |
| 11 | Vizimpro dacomitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Lorbrena lorlatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Ipratropium Bromide | Brand | Tier 2 | $12.00 | Details |
| 14 | Estradiol | Brand | Tier 4 | 0.5% coinsurance | Details |
| 15 | Amoxapine | Brand | Tier 3 | $45.00 | Details |
| 16 | Chlorpromazine Hydrochloride | Brand | Tier 4 | 0.5% coinsurance | Details |
| 17 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 3 | $45.00 | Details |
| 18 | WELIREG belzutifan | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Xalkori CRIZOTINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Risperidone | Brand | Tier 3 | $45.00 | Details |
Showing 20 of 960 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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