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Verified against CMS.gov · on April 2026 Plan ID: S5795-003 Cross-check on Medicare.gov →

BlueMedicare Value Rx (PDP)

Plan Year 2026
$52.50 /month
Monthly Premium
$615.00 Annual Deductible
932 Drugs Covered
0 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 Primaquine Phosphate Brand Tier 3 $0.00 Details
2 Warfarin Sodium Brand Tier 1 $0.00 Details
3 bexarotene Brand Tier 5 $0.00 Details
4 TRUQAP capivasertib Brand Tier 5 $0.00 Details
5 Trumenba meningococcal group B vaccine Brand Tier 1 $0.00 Details
6 Prochlorperazine Brand Tier 4 $0.00 Details
7 TRETINOIN tretinoin Brand Tier 4 $0.00 Details
8 ETHOSUXIMIDE Brand Tier 3 $0.00 Details
9 ENTRESTO Sacubitril and Valsartan Brand Tier 3 $0.00 Details
10 Isosorbide Dinitrate Brand Tier 3 $0.00 Details
11 Fluvoxamine maleate Brand Tier 3 $0.00 Details
12 CRESEMBA isavuconazonium sulfate Brand Tier 5 $0.00 Details
13 KOSELUGO SELUMETINIB Brand Tier 5 $0.00 Details
14 Phenobarbital Brand Tier 3 $0.00 Details
15 Lenalidomide Brand Tier 5 $0.00 Details
16 Mefloquine Hydrochloride Brand Tier 3 $0.00 Details
17 EVOTAZ atazanavir and cobicistat Brand Tier 5 $0.00 Details
18 SCEMBLIX asciminib Brand Tier 5 $0.00 Details
19 Leucovorin Calcium Brand Tier 3 $0.00 Details
20 Pioglitazone Brand Tier 2 $0.00 Details

Showing 20 of 932 covered drugs.

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