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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H7605-001 Cross-check on Medicare.gov →

DEVOTED CORE 001 TN (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$375.00 Annual Deductible
995 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 REYATAZ ATAZANAVIR Brand Tier 5 $0.00 Details
2 Dexamethasone Brand Tier 3 $0.00 Details
3 ZYKADIA ceritinib Brand Tier 5 $0.00 Details
4 Potassium Chloride Brand Tier 2 $0.00 Details
5 Bromocriptine mesylate Brand Tier 4 $0.00 Details
6 Dicyclomine Dicyclomine hydrochloride Brand Tier 3 $0.00 Details
7 Fluphenazine Hydrochloride Brand Tier 4 $0.00 Details
8 Verzenio abemaciclib Brand Tier 5 $0.00 Details
9 Mekinist trametinib Brand Tier 5 $0.00 Details
10 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
11 Talzenna talazoparib Brand Tier 5 $0.00 Details
12 Dexamethasone Brand Tier 3 $0.00 Details
13 Gilotrif afatinib Brand Tier 5 $0.00 Details
14 Venlafaxine Hydrochloride Brand Tier 3 $0.00 Details
15 Haloperidol Brand Tier 3 $0.00 Details
16 Amoxicillin Brand Tier 1 $0.00 Details
17 VALPROIC ACID Brand Tier 3 $0.00 Details
18 RETEVMO selpercatinib Brand Tier 5 $0.00 Details
19 Warfarin Sodium Brand Tier 1 $0.00 Details
20 Mekinist trametinib Brand Tier 5 $0.00 Details

Showing 20 of 995 covered drugs.

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States Served (1)

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

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