BlueMedicare Value (PPO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
878
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 | Aprepitant aprepitant | Brand | Tier 4 | $0.00 | Details |
| 2 | Abrysvo Respiratory Syncytial Virus Vaccine | Brand | Tier 6 | $0.00 | Details |
| 3 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 4 | Clonidine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 5 | BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN | Brand | Tier 6 | $0.00 | Details |
| 6 | Tacrolimus | Brand | Tier 4 | $0.00 | Details |
| 7 | amiloride hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 8 | TESTOSTERONE ENANTHATE | Brand | Tier 3 | $0.00 | Details |
| 9 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 6 | $0.00 | Details |
| 10 | Amoxapine | Brand | Tier 4 | $0.00 | Details |
| 11 | DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate | Brand | Tier 5 | $0.00 | Details |
| 12 | Verzenio abemaciclib | Brand | Tier 5 | $0.00 | Details |
| 13 | Lenalidomide | Brand | Tier 5 | $0.00 | Details |
| 14 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 15 | Vizimpro dacomitinib | Brand | Tier 5 | $0.00 | Details |
| 16 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | $0.00 | Details |
| 17 | Tiagabine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 18 | Clonidine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 19 | Ofev nintedanib | Brand | Tier 5 | $0.00 | Details |
| 20 | Cilostazol | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 878 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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