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Verified against CMS.gov · on Apr 1, 2026 Plan ID: S5726-020 Cross-check on Medicare.gov →

Blue MedicareRx Essentials (PDP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
922 Drugs Covered
0 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 Budesonide Brand Tier 4 0.3% coinsurance Details
2 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
3 Ciprofloxacin Brand Tier 2 $0.00 Details
4 NOVOLOG insulin aspart Brand Tier 3 0.2% coinsurance Details
5 VERQUVO vericiguat Brand Tier 3 0.2% coinsurance Details
6 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
7 Everolimus Brand Tier 4 0.3% coinsurance Details
8 VAQTA hepatitis A vaccine, inactivated Brand Tier 1 $0.00 Details
9 Methylphenidate Hydrochloride Brand Tier 3 0.2% coinsurance Details
10 VALPROIC ACID Brand Tier 2 $0.00 Details
11 KISQALI ribociclib Brand Tier 5 0.3% coinsurance Details
12 Xospata gilteritinib Brand Tier 5 0.3% coinsurance Details
13 Xtandi enzalutamide Brand Tier 5 0.3% coinsurance Details
14 Clozapine Brand Tier 4 0.3% coinsurance Details
15 Verzenio abemaciclib Brand Tier 5 0.3% coinsurance Details
16 Rufinamide Brand Tier 4 0.3% coinsurance Details
17 Dicloxacillin Sodium Brand Tier 2 $0.00 Details
18 PIQRAY alpelisib Brand Tier 5 0.3% coinsurance Details
19 Clozapine Brand Tier 4 0.3% coinsurance Details
20 Phenobarbital Brand Tier 2 $0.00 Details

Showing 20 of 922 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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