Fallon Medicare Plus Blue (HMO)
$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 | Fluphenazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 2 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 3 | Imatinib Mesylate | Brand | Tier 3 | $0.00 | Details |
| 4 | TRUQAP capivasertib | Brand | Tier 5 | $0.00 | Details |
| 5 | Lenalidomide | Brand | Tier 5 | $0.00 | Details |
| 6 | Estradiol | Brand | Tier 1 | $0.00 | Details |
| 7 | PIQRAY alpelisib | Brand | Tier 5 | $0.00 | Details |
| 8 | Tiagabine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 9 | Rufinamide | Brand | Tier 5 | $0.00 | Details |
| 10 | Vigabatrin | Brand | Tier 5 | $0.00 | Details |
| 11 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 12 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 13 | TABRECTA capmatinib | Brand | Tier 5 | $0.00 | Details |
| 14 | Cefuroxime | Brand | Tier 6 | $0.00 | Details |
| 15 | REYATAZ ATAZANAVIR | Brand | Tier 5 | $0.00 | Details |
| 16 | ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live | Brand | Tier 6 | $0.00 | Details |
| 17 | Scopolamine scopolamine | Brand | Tier 4 | $0.00 | Details |
| 18 | Ciprofloxacin | Brand | Tier 1 | $0.00 | Details |
| 19 | HERNEXEOS zongertinib | Brand | Tier 5 | $0.00 | Details |
| 20 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 1,039 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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