BlueAdvantage Total Heart and Diabetes Plus (PPO C-SNP)
$27.70 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
998
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 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 2 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 3 | Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 4 | $0.00 | Details |
| 4 | Xtandi enzalutamide | Brand | Tier 5 | $0.00 | Details |
| 5 | ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live | Brand | Tier 3 | $0.00 | Details |
| 6 | Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate | Brand | Tier 5 | $0.00 | Details |
| 7 | Clozapine | Brand | Tier 4 | $0.00 | Details |
| 8 | TAGRISSO osimertinib | Brand | Tier 5 | $0.00 | Details |
| 9 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 10 | Estradiol | Brand | Tier 2 | $0.00 | Details |
| 11 | Potassium Chloride potassium chloride | Brand | Tier 2 | $0.00 | Details |
| 12 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 13 | Acarbose | Brand | Tier 1 | $0.00 | Details |
| 14 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 15 | Hydrochlorothiazide | Brand | Tier 1 | $0.00 | Details |
| 16 | Risperidone | Brand | Tier 2 | $0.00 | Details |
| 17 | ENTRESTO Sacubitril and Valsartan | Brand | Tier 3 | $0.00 | Details |
| 18 | Isosorbide Dinitrate | Brand | Tier 1 | $0.00 | Details |
| 19 | Linzess linaclotide | Brand | Tier 3 | $0.00 | Details |
| 20 | Fluvoxamine maleate | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 998 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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