HumanaChoice H0473-004 (PPO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$420.00
Annual Deductible
976
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 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 2 | Venclexta Venetoclax | Brand | Tier 5 | $0.00 | Details |
| 3 | HERNEXEOS zongertinib | Brand | Tier 5 | $0.00 | Details |
| 4 | Fiasp insulin aspart injection | Brand | Tier 3 | $0.00 | Details |
| 5 | WELIREG belzutifan | Brand | Tier 5 | $0.00 | Details |
| 6 | Augtyro repotrectinib | Brand | Tier 5 | $0.00 | Details |
| 7 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | $0.00 | Details |
| 8 | Nortriptyline Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 9 | Erlotinib | Brand | Tier 5 | $0.00 | Details |
| 10 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 11 | BOSULIF Bosutinib | Brand | Tier 5 | $0.00 | Details |
| 12 | Methotrexate | Brand | Tier 1 | $0.00 | Details |
| 13 | Lenalidomide | Brand | Tier 5 | $0.00 | Details |
| 14 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
| 15 | Tacrolimus | Brand | Tier 4 | $0.00 | Details |
| 16 | Mefloquine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 17 | Loxapine | Brand | Tier 4 | $0.00 | Details |
| 18 | Nefazodone Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 19 | TABRECTA capmatinib | Brand | Tier 5 | $0.00 | Details |
| 20 | RYDAPT | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 976 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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