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Verified against CMS.gov · on April 2026 Plan ID: H4513-064 Cross-check on Medicare.gov →

HealthSpring Alliance (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$200.00 Annual Deductible
1,004 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 Gentamicin Sulfate Brand Tier 4 0.5% coinsurance Details
2 SOMAVERT pegvisomant Brand Tier 5 0.3% coinsurance Details
3 Lorbrena lorlatinib Brand Tier 5 0.3% coinsurance Details
4 Nortriptyline Hydrochloride Brand Tier 2 $0.00 Details
5 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 3 $47.00 Details
6 Heparin Sodium Brand Tier 3 $47.00 Details
7 Linzess linaclotide Brand Tier 4 0.5% coinsurance Details
8 NITROGLYCERIN nitroglycerin Brand Tier 4 0.5% coinsurance Details
9 Buspirone Hydrochloride Brand Tier 2 $0.00 Details
10 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
11 Loxapine Brand Tier 2 $0.00 Details
12 Lorbrena lorlatinib Brand Tier 5 0.3% coinsurance Details
13 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
14 ISENTRESS RALTEGRAVIR Brand Tier 5 0.3% coinsurance Details
15 BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN Brand Tier 3 $47.00 Details
16 Scopolamine scopolamine Brand Tier 4 0.5% coinsurance Details
17 Ciprofloxacin Brand Tier 1 $0.00 Details
18 Prograf Tacrolimus Brand Tier 4 0.5% coinsurance Details
19 Pioglitazone Brand Tier 1 $0.00 Details
20 Tiagabine Hydrochloride Brand Tier 4 0.5% coinsurance Details

Showing 20 of 1,004 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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