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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H2694-002 Cross-check on Medicare.gov →

eternalHealth Give Back (PPO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$350.00 Annual Deductible
1,003 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 TAGRISSO osimertinib Brand Tier 5 $0.00 Details
2 BOSULIF Bosutinib Brand Tier 5 $0.00 Details
3 Pyridostigmine Bromide PYRIDOSTIGMINE BROMIDE Brand Tier 2 $0.00 Details
4 Nortriptyline Hydrochloride Brand Tier 4 $0.00 Details
5 Valsartan valsartan Brand Tier 1 $0.00 Details
6 Nitroglycerin nitroglycerin Brand Tier 2 $0.00 Details
7 Estradiol Brand Tier 2 $0.00 Details
8 Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate Brand Tier 3 $0.00 Details
9 Nystatin Brand Tier 2 $0.00 Details
10 Methylphenidate Hydrochloride Brand Tier 2 $0.00 Details
11 Tafinlar dabrafenib Brand Tier 5 $0.00 Details
12 Talzenna talazoparib Brand Tier 5 $0.00 Details
13 Abrysvo Respiratory Syncytial Virus Vaccine Brand Tier 1 $0.00 Details
14 Cromolyn Sodium Brand Tier 3 $0.00 Details
15 Paxlovid nirmatrelvir and ritonavir Brand Tier 3 $0.00 Details
16 Nitroglycerin nitroglycerin Brand Tier 2 $0.00 Details
17 Ceftriaxone Sodium Brand Tier 3 $0.00 Details
18 Prednisone Brand Tier 1 $0.00 Details
19 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 1 $0.00 Details
20 Xalkori CRIZOTINIB Brand Tier 5 $0.00 Details

Showing 20 of 1,003 covered drugs.

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States Served (1)

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

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