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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H3384-070 Cross-check on Medicare.gov →

Community Blue Medicare HMO Distinct (HMO)

Plan Year 2026
$6.80 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
970 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 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 $3.00 Details
2 Buspirone Hydrochloride Brand Tier 2 $3.00 Details
3 Nystatin Brand Tier 2 $3.00 Details
4 Cefuroxime Brand Tier 3 0.2% coinsurance Details
5 Verzenio abemaciclib Brand Tier 5 0.3% coinsurance Details
6 Gilotrif afatinib Brand Tier 5 0.3% coinsurance Details
7 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
8 Methylphenidate Hydrochloride Brand Tier 2 $3.00 Details
9 Acarbose Brand Tier 2 $3.00 Details
10 TESTOSTERONE ENANTHATE Brand Tier 3 0.2% coinsurance Details
11 Nicotrol nicotine Brand Tier 4 0.3% coinsurance Details
12 Enoxaparin Sodium Enoxaparin sodium Brand Tier 4 0.3% coinsurance Details
13 Cabergoline Brand Tier 3 0.2% coinsurance Details
14 REYATAZ ATAZANAVIR Brand Tier 5 0.3% coinsurance Details
15 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
16 Fluvoxamine maleate Brand Tier 2 $3.00 Details
17 Omeprazole Brand Tier 1 $0.00 Details
18 Lenalidomide Brand Tier 5 0.3% coinsurance Details
19 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
20 VALPROIC ACID Brand Tier 2 $3.00 Details

Showing 20 of 970 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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States Served (1)

This plan is available to Medicare beneficiaries in the following states.

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