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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H8578-012 Cross-check on Medicare.gov →

Health New England Medicare Value (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$490.00 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 Methylphenidate Hydrochloride Brand Tier 2 $10.00 Details
2 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
3 Verzenio abemaciclib Brand Tier 5 0.3% coinsurance Details
4 Paxlovid nirmatrelvir and ritonavir Brand Tier 3 $45.00 Details
5 bexarotene Brand Tier 5 0.3% coinsurance Details
6 Erlotinib Brand Tier 5 0.3% coinsurance Details
7 Clozapine Brand Tier 4 0.3% coinsurance Details
8 TicoVac Tick-Borne Encephalitis Vaccine Brand Tier 3 $45.00 Details
9 Nefazodone Hydrochloride Brand Tier 4 0.3% coinsurance Details
10 RETEVMO selpercatinib Brand Tier 5 0.3% coinsurance Details
11 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
12 Amoxicillin Brand Tier 1 $0.00 Details
13 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
14 Amoxapine Brand Tier 3 $45.00 Details
15 Digoxin Brand Tier 2 $10.00 Details
16 VAQTA hepatitis A vaccine, inactivated Brand Tier 2 $10.00 Details
17 Linzess linaclotide Brand Tier 4 0.3% coinsurance Details
18 POSACONAZOLE Posaconazole Brand Tier 5 0.3% coinsurance Details
19 Pilocarpine Hydrochloride Brand Tier 3 $45.00 Details
20 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 4 0.3% coinsurance Details

Showing 20 of 995 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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