Health First Emerald Plus H1099-026 (HMO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$350.00
Annual Deductible
1,034
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 | Nitroglycerin nitroglycerin | Brand | Tier 2 | $5.00 | Details |
| 2 | Chlorhexidine Gluconate | Brand | Tier 1 | $0.00 | Details |
| 3 | Rufinamide | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Abrysvo Respiratory Syncytial Virus Vaccine | Brand | Tier 3 | $42.00 | Details |
| 5 | ZEJULA niraparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 6 | Verzenio abemaciclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 7 | Risperidone | Brand | Tier 4 | 0.3% coinsurance | Details |
| 8 | LACTULOSE Lactulose | Brand | Tier 2 | $5.00 | Details |
| 9 | KOSELUGO SELUMETINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 11 | Spiriva Respimat tiotropium bromide inhalation spray | Brand | Tier 4 | 0.3% coinsurance | Details |
| 12 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $5.00 | Details |
| 13 | Ofev nintedanib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Fluphenazine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 15 | Aprepitant aprepitant | Brand | Tier 4 | 0.3% coinsurance | Details |
| 16 | SCEMBLIX asciminib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Hydrochlorothiazide | Brand | Tier 1 | $0.00 | Details |
| 18 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 3 | $42.00 | Details |
| 19 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 3 | $42.00 | Details |
| 20 | Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate | Brand | Tier 5 | 0.3% coinsurance | Details |
Showing 20 of 1,034 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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