FHCP Medicare Classic (HMO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
815
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 | BOSULIF Bosutinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 2 | Methotrexate | Brand | Tier 1 | $0.00 | Details |
| 3 | PREVYMIS LETERMOVIR | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 5 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 2 | $10.00 | Details |
| 6 | Exemestane | Brand | Tier 2 | $10.00 | Details |
| 7 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 2 | $10.00 | Details |
| 8 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 6 | $0.00 | Details |
| 9 | JANUVIA sitagliptin | Brand | Tier 3 | $44.00 | Details |
| 10 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | 0.3% coinsurance | Details |
| 11 | Verzenio abemaciclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Trumenba meningococcal group B vaccine | Brand | Tier 6 | $0.00 | Details |
| 13 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
| 14 | SCEMBLIX asciminib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Methylphenidate Hydrochloride | Brand | Tier 2 | $10.00 | Details |
| 16 | Buspirone Hydrochloride | Brand | Tier 2 | $10.00 | Details |
| 17 | Spiriva Respimat tiotropium bromide inhalation spray | Brand | Tier 4 | 0.3% coinsurance | Details |
| 18 | Fluphenazine Hydrochloride | Brand | Tier 2 | $10.00 | Details |
| 19 | Chlorhexidine Gluconate | Brand | Tier 2 | $10.00 | Details |
| 20 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 2 | $10.00 | Details |
Showing 20 of 815 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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