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Verified against CMS.gov · on Jul 1, 2026 Plan ID: H0504-047 Cross-check on Medicare.gov →

Blue Shield Inspire (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$425.00 Annual Deductible
966 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 KOSELUGO SELUMETINIB Brand Tier 5 0.3% coinsurance Details
2 PODOFILOX Brand Tier 2 $5.00 Details
3 Haloperidol Brand Tier 2 $5.00 Details
4 PIFELTRO doravirine Brand Tier 5 0.3% coinsurance Details
5 ELIQUIS apixaban Brand Tier 3 0.2% coinsurance Details
6 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
7 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.3% coinsurance Details
8 Nefazodone Hydrochloride Brand Tier 3 0.2% coinsurance Details
9 HYDROCODONE BITARTRATE AND ACETAMINOPHEN Brand Tier 2 $5.00 Details
10 Diltiazem Hydrochloride Brand Tier 2 $5.00 Details
11 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
12 TAGRISSO osimertinib Brand Tier 5 0.3% coinsurance Details
13 Methotrexate Brand Tier 2 $5.00 Details
14 Linzess linaclotide Brand Tier 3 0.2% coinsurance Details
15 Spiriva Respimat tiotropium bromide inhalation spray Brand Tier 3 0.2% coinsurance Details
16 VALPROIC ACID Brand Tier 2 $5.00 Details
17 Amoxapine Brand Tier 3 0.2% coinsurance Details
18 Xospata gilteritinib Brand Tier 5 0.3% coinsurance Details
19 Cilostazol Brand Tier 2 $5.00 Details
20 Nortriptyline Hydrochloride Brand Tier 2 $5.00 Details

Showing 20 of 966 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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