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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H6200-010 Cross-check on Medicare.gov →

Essence Advantage Choice Plus (PPO)

Plan Year 2026
$4.30 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
968 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 Cyclosporine Modified Modified Cyclosporine Brand Tier 3 $47.00 Details
2 NITROGLYCERIN nitroglycerin Brand Tier 3 $47.00 Details
3 RETEVMO selpercatinib Brand Tier 5 0.3% coinsurance Details
4 Diltiazem Hydrochloride Brand Tier 2 $5.00 Details
5 JAYPIRCA pirtobrutinib Brand Tier 5 0.3% coinsurance Details
6 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 3 $47.00 Details
7 Amoxicillin Brand Tier 2 $5.00 Details
8 VAQTA hepatitis A vaccine, inactivated Brand Tier 3 $47.00 Details
9 Budesonide Brand Tier 4 0.5% coinsurance Details
10 PredniSONE Brand Tier 1 $0.00 Details
11 PODOFILOX Brand Tier 3 $47.00 Details
12 JANUVIA sitagliptin Brand Tier 3 $47.00 Details
13 Clotrimazole clotrimazole Brand Tier 2 $5.00 Details
14 Tiagabine Hydrochloride Brand Tier 4 0.5% coinsurance Details
15 Haloperidol Brand Tier 2 $5.00 Details
16 ELIQUIS apixaban Brand Tier 3 $47.00 Details
17 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
18 ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live Brand Tier 3 $47.00 Details
19 Nefazodone Hydrochloride Brand Tier 4 0.5% coinsurance Details
20 Everolimus Brand Tier 5 0.3% coinsurance Details

Showing 20 of 968 covered drugs.

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States Served (1)

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

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