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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H8889-017 Cross-check on Medicare.gov →

Medica Advantage Value (PPO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
981 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 Acamprosate Calcium acamprosate calcium enteric-coated Brand Tier 4 $0.00 Details
2 Ibrance palbociclib Brand Tier 5 $0.00 Details
3 Ampicillin Brand Tier 2 $0.00 Details
4 Diazepam Brand Tier 2 $0.00 Details
5 Xtandi enzalutamide Brand Tier 5 $0.00 Details
6 PredniSONE Brand Tier 1 $0.00 Details
7 SCEMBLIX asciminib Brand Tier 5 $0.00 Details
8 Ofev nintedanib Brand Tier 5 $0.00 Details
9 Clozapine Brand Tier 4 $0.00 Details
10 Bupropion Hydrochloride SR SR bupropion hydrochloride Brand Tier 2 $0.00 Details
11 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 1 $0.00 Details
12 Buspirone Hydrochloride Brand Tier 2 $0.00 Details
13 Mekinist trametinib Brand Tier 5 $0.00 Details
14 Phenobarbital Oral Solution Phenobarbital Oral Brand Tier 4 $0.00 Details
15 Dexamethasone Brand Tier 2 $0.00 Details
16 Doxepin Hydrochloride doxepin hydrochloride Brand Tier 4 $0.00 Details
17 ZEJULA niraparib Brand Tier 5 $0.00 Details
18 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 $0.00 Details
19 Estradiol Brand Tier 4 $0.00 Details
20 Paxlovid nirmatrelvir and ritonavir Brand Tier 2 $0.00 Details

Showing 20 of 981 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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