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Verified against CMS.gov · on Jul 1, 2026 Plan ID: H4286-003 Cross-check on Medicare.gov →

Leon MediMore (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
984 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 Diazepam Brand Tier 1 $0.00 Details
2 Doxepin Hydrochloride doxepin hydrochloride Brand Tier 1 $0.00 Details
3 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 1 $0.00 Details
4 PredniSONE Brand Tier 1 $0.00 Details
5 Cyclosporine Modified Modified Cyclosporine Brand Tier 1 $0.00 Details
6 Cilostazol Brand Tier 1 $0.00 Details
7 Loxapine Brand Tier 1 $0.00 Details
8 Nefazodone Hydrochloride Brand Tier 1 $0.00 Details
9 TABRECTA capmatinib Brand Tier 4 0.3% coinsurance Details
10 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
11 Talzenna talazoparib Brand Tier 4 0.3% coinsurance Details
12 Cyclosporine Brand Tier 1 $0.00 Details
13 Cromolyn Sodium Brand Tier 1 $0.00 Details
14 Clarithromycin Brand Tier 1 $0.00 Details
15 Pioglitazone Brand Tier 1 $0.00 Details
16 BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN Brand Tier 2 $30.00 Details
17 Pilocarpine Hydrochloride Brand Tier 1 $0.00 Details
18 Warfarin Sodium Brand Tier 1 $0.00 Details
19 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
20 Kaletra Lopinavir and Ritonavir Brand Tier 3 $40.00 Details

Showing 20 of 984 covered drugs.

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States Served (1)

This plan is available to Medicare beneficiaries in the following states.

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