Keystone 65 Focus Rx (HMO-POS)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00
Annual Deductible
973
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 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | 0.3% coinsurance | Details |
| 2 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | Xtandi enzalutamide | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Midodrine Hydrochloride midodrine hydrochloride | Brand | Tier 3 | 0.3% coinsurance | Details |
| 5 | Ceftriaxone Sodium | Brand | Tier 2 | $0.00 | Details |
| 6 | Calcipotriene | Brand | Tier 3 | 0.3% coinsurance | Details |
| 7 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
| 8 | Isosorbide Dinitrate | Brand | Tier 4 | 0.4% coinsurance | Details |
| 9 | MERCAPTOPURINE | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Linzess linaclotide | Brand | Tier 3 | 0.3% coinsurance | Details |
| 11 | Nefazodone Hydrochloride | Brand | Tier 4 | 0.4% coinsurance | Details |
| 12 | Tafinlar dabrafenib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | TRUQAP capivasertib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Fluphenazine Hydrochloride | Brand | Tier 4 | 0.4% coinsurance | Details |
| 15 | Venclexta Venetoclax | Brand | Tier 3 | 0.3% coinsurance | Details |
| 16 | Prochlorperazine | Brand | Tier 4 | 0.4% coinsurance | Details |
| 17 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 2 | $0.00 | Details |
| 18 | TESTOSTERONE ENANTHATE | Brand | Tier 3 | 0.3% coinsurance | Details |
| 19 | Trelegy Ellipta fluticasone furoate, umeclidinium bromide and vilanterol trifenatate | Brand | Tier 3 | 0.3% coinsurance | Details |
| 20 | ZOLINZA vorinostat | Brand | Tier 5 | 0.3% coinsurance | Details |
Showing 20 of 973 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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