BlueCHiP for Medicare Extra (HMO-POS)
$108.30 /month
Monthly Premium
$350.00
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 | Verzenio abemaciclib | Brand | Tier 5 | $0.00 | Details |
| 2 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 3 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 4 | Estradiol | Brand | Tier 1 | $0.00 | Details |
| 5 | TESTOSTERONE ENANTHATE | Brand | Tier 3 | $0.00 | Details |
| 6 | Nefazodone Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 7 | Nortriptyline Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 8 | Danazol | Brand | Tier 4 | $0.00 | Details |
| 9 | Everolimus | Brand | Tier 4 | $0.00 | Details |
| 10 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 11 | Vizimpro dacomitinib | Brand | Tier 5 | $0.00 | Details |
| 12 | Omeprazole | Brand | Tier 1 | $0.00 | Details |
| 13 | Ipratropium Bromide | Brand | Tier 2 | $0.00 | Details |
| 14 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 15 | Haloperidol | Brand | Tier 3 | $0.00 | Details |
| 16 | KISQALI ribociclib | Brand | Tier 5 | $0.00 | Details |
| 17 | Xtandi enzalutamide | Brand | Tier 5 | $0.00 | Details |
| 18 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 19 | Leucovorin Calcium | Brand | Tier 3 | $0.00 | Details |
| 20 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 926 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
Find Your Best Medicare Plan for 2026
Compare plans side-by-side with the help of a licensed Medicare specialist. Free service — no obligation.
Compare Medicare Plans Free- ✓ Compare all plans in your area
- ✓ Licensed agents available 7 days a week
- ✓ No cost, no obligation
We may receive a referral fee if you enroll through this link. DrugCovered is not affiliated with Medicare or any government agency. Plan availability and costs vary by ZIP code. Not all plans may be available in your area.