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Verified against CMS.gov · on July 2026 Plan ID: H3407-003 Cross-check on Medicare.gov →

El Paso Health Giveback (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
973 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 TABRECTA capmatinib Brand Tier 5 $0.00 Details
2 Verzenio abemaciclib Brand Tier 5 $0.00 Details
3 Paxlovid nirmatrelvir and ritonavir Brand Tier 2 $0.00 Details
4 ZEJULA niraparib Brand Tier 5 $0.00 Details
5 Amoxapine Brand Tier 2 $0.00 Details
6 ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban Brand Tier 3 $0.00 Details
7 JANUVIA sitagliptin Brand Tier 3 $0.00 Details
8 Verzenio abemaciclib Brand Tier 5 $0.00 Details
9 Phenobarbital Brand Tier 1 $0.00 Details
10 Methylphenidate Hydrochloride Brand Tier 1 $0.00 Details
11 Buprenorphine Brand Tier 1 $0.00 Details
12 NITROGLYCERIN nitroglycerin Brand Tier 2 $0.00 Details
13 Nitroglycerin nitroglycerin Brand Tier 2 $0.00 Details
14 Hydrochlorothiazide Brand Tier 1 $0.00 Details
15 INLYTA axitinib Brand Tier 5 $0.00 Details
16 VAQTA hepatitis A vaccine, inactivated Brand Tier 3 $0.00 Details
17 Dexamethasone Brand Tier 1 $0.00 Details
18 Nefazodone Hydrochloride Brand Tier 2 $0.00 Details
19 Trifluoperazine Hydrochloride Brand Tier 2 $0.00 Details
20 Dextrose and Sodium Chloride Brand Tier 2 $0.00 Details

Showing 20 of 973 covered drugs.

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States Served (1)

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

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