Freedom Platinum Rewards Plan Rx (HMO)
$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 | Hydrochlorothiazide | Brand | Tier 1 | $0.00 | Details |
| 2 | Exemestane | Brand | Tier 3 | $85.00 | Details |
| 3 | INLYTA axitinib | Brand | Tier 4 | 0.3% coinsurance | Details |
| 4 | ZEJULA niraparib | Brand | Tier 4 | 0.3% coinsurance | Details |
| 5 | PedvaxHIB Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) | Brand | Tier 1 | $0.00 | Details |
| 6 | MERCAPTOPURINE | Brand | Tier 4 | 0.3% coinsurance | Details |
| 7 | Linzess linaclotide | Brand | Tier 3 | $85.00 | Details |
| 8 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 9 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 1 | $0.00 | Details |
| 10 | Spiriva Respimat tiotropium bromide inhalation spray | Brand | Tier 2 | $35.00 | Details |
| 11 | PIFELTRO doravirine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 12 | Augtyro repotrectinib | Brand | Tier 4 | 0.3% coinsurance | Details |
| 13 | Prednisone | Brand | Tier 1 | $0.00 | Details |
| 14 | Loxapine | Brand | Tier 2 | $35.00 | Details |
| 15 | Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 2 | $35.00 | Details |
| 16 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 17 | Ibrance palbociclib | Brand | Tier 4 | 0.3% coinsurance | Details |
| 18 | NOVOLOG insulin aspart | Brand | Tier 2 | $35.00 | Details |
| 19 | Methotrexate | Brand | Tier 1 | $0.00 | Details |
| 20 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 3 | $85.00 | Details |
Showing 20 of 964 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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