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Verified against CMS.gov · on Jul 1, 2026 Plan ID: H1099-025 Cross-check on Medicare.gov →

Health First Premier Access H1099-025 (HMO-POS)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$200.00 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 Fluphenazine Hydrochloride Brand Tier 4 0.3% coinsurance Details
2 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.3% coinsurance Details
3 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 $5.00 Details
4 Nefazodone Hydrochloride Brand Tier 4 0.3% coinsurance Details
5 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
6 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
7 Cefuroxime Brand Tier 4 0.3% coinsurance Details
8 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
9 Pioglitazone Brand Tier 1 $0.00 Details
10 Rufinamide Brand Tier 5 0.3% coinsurance Details
11 Xtandi enzalutamide Brand Tier 5 0.3% coinsurance Details
12 Isosorbide Dinitrate Brand Tier 2 $5.00 Details
13 Enoxaparin Sodium Enoxaparin sodium Brand Tier 2 $5.00 Details
14 REYATAZ ATAZANAVIR Brand Tier 5 0.3% coinsurance Details
15 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
16 Lorbrena lorlatinib Brand Tier 5 0.3% coinsurance Details
17 Norvir Ritonavir Brand Tier 4 0.3% coinsurance Details
18 ISENTRESS RALTEGRAVIR Brand Tier 5 0.3% coinsurance Details
19 Nitroglycerin nitroglycerin Brand Tier 2 $5.00 Details
20 Prograf Tacrolimus Brand Tier 4 0.3% coinsurance Details

Showing 20 of 1,034 covered drugs.

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States Served (1)

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

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