BlueCHiP for Medicare Essential (HMO-POS)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
926
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 | TESTOSTERONE ENANTHATE | Brand | Tier 3 | $0.00 | Details |
| 2 | Nefazodone Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 3 | Nortriptyline Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 4 | Danazol | Brand | Tier 4 | $0.00 | Details |
| 5 | Everolimus | Brand | Tier 4 | $0.00 | Details |
| 6 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 7 | Vizimpro dacomitinib | Brand | Tier 5 | $0.00 | Details |
| 8 | Omeprazole | Brand | Tier 1 | $0.00 | Details |
| 9 | Ipratropium Bromide | Brand | Tier 2 | $0.00 | Details |
| 10 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 11 | Haloperidol | Brand | Tier 3 | $0.00 | Details |
| 12 | KISQALI ribociclib | Brand | Tier 5 | $0.00 | Details |
| 13 | Xtandi enzalutamide | Brand | Tier 5 | $0.00 | Details |
| 14 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 15 | Leucovorin Calcium | Brand | Tier 3 | $0.00 | Details |
| 16 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
| 17 | Perphenazine perphenazine | Brand | Tier 4 | $0.00 | Details |
| 18 | Leucovorin Calcium | Brand | Tier 4 | $0.00 | Details |
| 19 | PREVYMIS LETERMOVIR | Brand | Tier 5 | $0.00 | Details |
| 20 | Loxapine | Brand | Tier 3 | $0.00 | Details |
Showing 20 of 926 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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