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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H8879-001 Cross-check on Medicare.gov →

Healthy Mississippi Premier Advantage (HMO-POS)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
1,077 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 PREVYMIS LETERMOVIR Brand Tier 5 0.3% coinsurance Details
2 Tiagabine Hydrochloride Brand Tier 2 $0.00 Details
3 Phenobarbital Brand Tier 2 $0.00 Details
4 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
5 Bupropion Hydrochloride SR SR bupropion hydrochloride Brand Tier 2 $0.00 Details
6 Augtyro repotrectinib Brand Tier 5 0.3% coinsurance Details
7 Buspirone Hydrochloride Brand Tier 2 $0.00 Details
8 Clonidine Hydrochloride Brand Tier 1 $0.00 Details
9 Dexamethasone Brand Tier 2 $0.00 Details
10 Warfarin Sodium Brand Tier 1 $0.00 Details
11 Loxapine Brand Tier 2 $0.00 Details
12 Warfarin Sodium Brand Tier 1 $0.00 Details
13 Ipratropium Bromide Brand Tier 2 $0.00 Details
14 Cyclosporine Modified Modified Cyclosporine Brand Tier 2 $0.00 Details
15 Ofev nintedanib Brand Tier 5 0.3% coinsurance Details
16 Augtyro repotrectinib Brand Tier 5 0.3% coinsurance Details
17 Medroxyprogesterone Acetate Brand Tier 2 $0.00 Details
18 Everolimus Brand Tier 5 0.3% coinsurance Details
19 Dupixent Dupilumab Brand Tier 5 0.3% coinsurance Details
20 NOVOLOG insulin aspart Brand Tier 3 $0.00 Details

Showing 20 of 1,077 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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