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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H7524-004 Cross-check on Medicare.gov →

Medicare Blue Dual Secure (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
1,110 Drugs Covered
0 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 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 See Plan Details
2 Digoxin Brand Tier 2 See Plan Details
3 Perphenazine perphenazine Brand Tier 3 See Plan Details
4 Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate Brand Tier 5 See Plan Details
5 Amoxicillin Brand Tier 2 See Plan Details
6 Vizimpro dacomitinib Brand Tier 5 See Plan Details
7 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 See Plan Details
8 Dexamethasone Brand Tier 4 See Plan Details
9 Venlafaxine Hydrochloride Brand Tier 3 See Plan Details
10 Talzenna talazoparib Brand Tier 5 See Plan Details
11 Dupixent Dupilumab Brand Tier 5 See Plan Details
12 Dicyclomine Dicyclomine hydrochloride Brand Tier 2 See Plan Details
13 Loxapine Brand Tier 2 See Plan Details
14 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 See Plan Details
15 Prednisone Brand Tier 2 See Plan Details
16 Diltiazem Hydrochloride Brand Tier 2 See Plan Details
17 KOSELUGO SELUMETINIB Brand Tier 5 See Plan Details
18 ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban Brand Tier 3 See Plan Details
19 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 See Plan Details
20 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 See Plan Details

Showing 20 of 1,110 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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