Brillante (HMO-POS)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00
Annual Deductible
950
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 | Valsartan valsartan | Brand | Tier 6 | $0.00 | Details |
| 2 | Propranolol Hydrochloride propranolol hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 3 | Digoxin | Brand | Tier 2 | $0.00 | Details |
| 4 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 6 | $0.00 | Details |
| 5 | Dexamethasone | Brand | Tier 1 | $0.00 | Details |
| 6 | ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban | Brand | Tier 3 | $25.00 | Details |
| 7 | CALQUENCE acalabrutinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 8 | Vizimpro dacomitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 9 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 6 | $0.00 | Details |
| 10 | Clotrimazole clotrimazole | Brand | Tier 2 | $0.00 | Details |
| 11 | Tiagabine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 12 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | WELIREG belzutifan | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Nefazodone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 15 | Rufinamide | Brand | Tier 2 | $0.00 | Details |
| 16 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 17 | Diazepam | Brand | Tier 2 | $0.00 | Details |
| 18 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 2 | $0.00 | Details |
| 19 | PIQRAY alpelisib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Loxapine | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 950 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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