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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H3449-023 Cross-check on Medicare.gov →

Blue Medicare Essential Plus (HMO-POS)

Plan Year 2026
$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 TRUQAP capivasertib Brand Tier 5 0.3% coinsurance Details
2 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 $4.00 Details
3 Haloperidol Brand Tier 2 $4.00 Details
4 Paxlovid nirmatrelvir and ritonavir Brand Tier 2 $4.00 Details
5 Amoxicillin and Clavulanate Potassium Brand Tier 2 $4.00 Details
6 Ceftriaxone Sodium Brand Tier 4 0.3% coinsurance Details
7 Amoxapine Brand Tier 4 0.3% coinsurance Details
8 ISENTRESS RALTEGRAVIR Brand Tier 3 0.3% coinsurance Details
9 DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate Brand Tier 5 0.3% coinsurance Details
10 Everolimus Brand Tier 5 0.3% coinsurance Details
11 Daurismo glasdegib Brand Tier 5 0.3% coinsurance Details
12 NOVOLOG insulin aspart Brand Tier 3 0.3% coinsurance Details
13 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.3% coinsurance Details
14 Loxapine Brand Tier 2 $4.00 Details
15 Neomycin Sulfate Brand Tier 2 $4.00 Details
16 Metoclopramide Brand Tier 1 $0.00 Details
17 Buprenorphine Brand Tier 2 $4.00 Details
18 Amoxapine Brand Tier 4 0.3% coinsurance Details
19 Buspirone Hydrochloride Brand Tier 2 $4.00 Details
20 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 6 $0.00 Details

Showing 20 of 1,002 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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