Blue Medicare Essential (HMO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
1,002
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 4 | 0.3% coinsurance | Details |
| 2 | Lynparza olaparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | Pyridostigmine Bromide PYRIDOSTIGMINE BROMIDE | Brand | Tier 3 | 0.3% coinsurance | Details |
| 4 | Potassium Chloride | Brand | Tier 2 | $4.00 | Details |
| 5 | Ciprofloxacin | Brand | Tier 2 | $4.00 | Details |
| 6 | Chlorpromazine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 7 | Mefloquine Hydrochloride | Brand | Tier 2 | $4.00 | Details |
| 8 | Clozapine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 9 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Talzenna talazoparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 11 | RYDAPT | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Sulfasalazine | Brand | Tier 2 | $4.00 | Details |
| 13 | Diltiazem Hydrochloride | Brand | Tier 2 | $4.00 | Details |
| 14 | TRUQAP capivasertib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $4.00 | Details |
| 16 | Haloperidol | Brand | Tier 2 | $4.00 | Details |
| 17 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 2 | $4.00 | Details |
| 18 | Amoxicillin and Clavulanate Potassium | Brand | Tier 2 | $4.00 | Details |
| 19 | Ceftriaxone Sodium | Brand | Tier 4 | 0.3% coinsurance | Details |
| 20 | Amoxapine | Brand | Tier 4 | 0.3% coinsurance | Details |
Showing 20 of 1,002 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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