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Verified against CMS.gov · on April 2026 Plan ID: S2893-001 Cross-check on Medicare.gov →

Blue MedicareRx Value Plus (PDP)

Plan Year 2026
$20.70 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
932 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 Primaquine Phosphate Brand Tier 3 0.2% coinsurance Details
2 Warfarin Sodium Brand Tier 1 $0.00 Details
3 bexarotene Brand Tier 5 0.3% coinsurance Details
4 TRUQAP capivasertib Brand Tier 5 0.3% coinsurance Details
5 Trumenba meningococcal group B vaccine Brand Tier 1 $0.00 Details
6 Prochlorperazine Brand Tier 4 0.3% coinsurance Details
7 TRETINOIN tretinoin Brand Tier 4 0.3% coinsurance Details
8 ETHOSUXIMIDE Brand Tier 3 0.2% coinsurance Details
9 ENTRESTO Sacubitril and Valsartan Brand Tier 3 0.2% coinsurance Details
10 Isosorbide Dinitrate Brand Tier 3 0.2% coinsurance Details
11 Fluvoxamine maleate Brand Tier 3 0.2% coinsurance Details
12 CRESEMBA isavuconazonium sulfate Brand Tier 5 0.3% coinsurance Details
13 KOSELUGO SELUMETINIB Brand Tier 5 0.3% coinsurance Details
14 Phenobarbital Brand Tier 3 0.2% coinsurance Details
15 Lenalidomide Brand Tier 5 0.3% coinsurance Details
16 Mefloquine Hydrochloride Brand Tier 3 0.2% coinsurance Details
17 EVOTAZ atazanavir and cobicistat Brand Tier 5 0.3% coinsurance Details
18 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
19 Leucovorin Calcium Brand Tier 3 0.2% coinsurance Details
20 Pioglitazone Brand Tier 2 $3.00 Details

Showing 20 of 932 covered drugs.

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