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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H9001-031 Cross-check on Medicare.gov →

Fallon Medicare Plus Blue (HMO)

Plan Year 2026
$72.10 /month
Monthly Premium
$0.00 Annual Deductible
1,039 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 INLYTA axitinib Brand Tier 5 $0.00 Details
2 Hydrocortisone Brand Tier 2 $0.00 Details
3 Methotrexate Brand Tier 2 $0.00 Details
4 Pilocarpine Hydrochloride Brand Tier 3 $0.00 Details
5 CRESEMBA isavuconazonium sulfate Brand Tier 5 $0.00 Details
6 Warfarin Sodium Brand Tier 1 $0.00 Details
7 Sodium Chloride Brand Tier 6 $0.00 Details
8 Prochlorperazine Brand Tier 3 $0.00 Details
9 Cyclosporine Modified Modified Cyclosporine Brand Tier 4 $0.00 Details
10 TESTOSTERONE ENANTHATE Brand Tier 3 $0.00 Details
11 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
12 Ibrance palbociclib Brand Tier 5 $0.00 Details
13 ISENTRESS RALTEGRAVIR Brand Tier 5 $0.00 Details
14 TicoVac Tick-Borne Encephalitis Vaccine Brand Tier 6 $0.00 Details
15 PREVYMIS LETERMOVIR Brand Tier 5 $0.00 Details
16 Clozapine Brand Tier 4 $0.00 Details
17 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
18 Mekinist trametinib Brand Tier 5 $0.00 Details
19 WELIREG belzutifan Brand Tier 5 $0.00 Details
20 Morphine Sulfate Brand Tier 4 $0.00 Details

Showing 20 of 1,039 covered drugs.

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States Served (1)

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

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