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Verified against CMS.gov · on Jul 1, 2026 Plan ID: H8578-004 Cross-check on Medicare.gov →

Health New England Medicare Plus (HMO)

Plan Year 2026
$58.40 /month
Monthly Premium
$350.00 Annual Deductible
995 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 TicoVac Tick-Borne Encephalitis Vaccine Brand Tier 3 $45.00 Details
2 Nefazodone Hydrochloride Brand Tier 4 0.4% coinsurance Details
3 RETEVMO selpercatinib Brand Tier 5 0.3% coinsurance Details
4 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
5 Amoxicillin Brand Tier 1 $0.00 Details
6 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
7 Amoxapine Brand Tier 3 $45.00 Details
8 Digoxin Brand Tier 2 $10.00 Details
9 VAQTA hepatitis A vaccine, inactivated Brand Tier 2 $10.00 Details
10 Linzess linaclotide Brand Tier 4 0.4% coinsurance Details
11 POSACONAZOLE Posaconazole Brand Tier 5 0.3% coinsurance Details
12 Pilocarpine Hydrochloride Brand Tier 3 $45.00 Details
13 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 4 0.4% coinsurance Details
14 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 $45.00 Details
15 ELIQUIS apixaban Brand Tier 3 $45.00 Details
16 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.4% coinsurance Details
17 Nortriptyline Hydrochloride Brand Tier 2 $10.00 Details
18 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 $45.00 Details
19 Amoxicillin Brand Tier 1 $0.00 Details
20 Ciprofloxacin Brand Tier 1 $0.00 Details

Showing 20 of 995 covered drugs.

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States Served (1)

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

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