DEVOTED CORE 046 FL (HMO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
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 | bexarotene | Brand | Tier 5 | $0.00 | Details |
| 2 | Budesonide | Brand | Tier 2 | $0.00 | Details |
| 3 | Clozapine | Brand | Tier 2 | $0.00 | Details |
| 4 | BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN | Brand | Tier 1 | $0.00 | Details |
| 5 | Estradiol | Brand | Tier 2 | $0.00 | Details |
| 6 | KISQALI ribociclib | Brand | Tier 5 | $0.00 | Details |
| 7 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 3 | $0.00 | Details |
| 8 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 9 | Lorbrena lorlatinib | Brand | Tier 5 | $0.00 | Details |
| 10 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 11 | Cefuroxime | Brand | Tier 2 | $0.00 | Details |
| 12 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 13 | Vizimpro dacomitinib | Brand | Tier 5 | $0.00 | Details |
| 14 | POSACONAZOLE Posaconazole | Brand | Tier 5 | $0.00 | Details |
| 15 | Buspirone Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 16 | Ampicillin and Sulbactam | Brand | Tier 2 | $0.00 | Details |
| 17 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
| 18 | Augtyro repotrectinib | Brand | Tier 5 | $0.00 | Details |
| 19 | Morphine Sulfate | Brand | Tier 2 | $0.00 | Details |
| 20 | REYATAZ ATAZANAVIR | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 995 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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