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Verified against CMS.gov · on April 2026 Plan ID: H5427-112 Cross-check on Medicare.gov →

Freedom M?ximo (HMO-POS)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
964 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 1 $0.00 Details
2 Warfarin Sodium Brand Tier 1 $0.00 Details
3 Dextrose and Sodium Chloride Brand Tier 2 $10.00 Details
4 Jardiance Empagliflozin Brand Tier 2 $10.00 Details
5 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 3 $50.00 Details
6 Imatinib Mesylate Brand Tier 4 0.3% coinsurance Details
7 Mercaptopurine Brand Tier 1 $0.00 Details
8 ELIQUIS apixaban Brand Tier 2 $10.00 Details
9 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 3 $50.00 Details
10 Clozapine Brand Tier 3 $50.00 Details
11 Metoprolol Tartrate metoprolol tartrate Brand Tier 1 $0.00 Details
12 Balsalazide Disodium Brand Tier 2 $10.00 Details
13 Amoxicillin Brand Tier 1 $0.00 Details
14 Pilocarpine Hydrochloride Brand Tier 3 $50.00 Details
15 Estradiol Brand Tier 1 $0.00 Details
16 Paxlovid nirmatrelvir and ritonavir Brand Tier 1 $0.00 Details
17 Medroxyprogesterone Acetate Brand Tier 1 $0.00 Details
18 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 1 $0.00 Details
19 Warfarin Sodium Brand Tier 1 $0.00 Details
20 Lupron Depot leuprolide acetate Brand Tier 4 0.3% coinsurance Details

Showing 20 of 964 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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States Served (1)

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

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