Medicare HMO Blue SaverRx (HMO-POS)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00
Annual Deductible
967
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 | Dicyclomine Hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 2 | Diltiazem Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 3 | Aprepitant aprepitant | Brand | Tier 2 | $5.00 | Details |
| 4 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 2 | $5.00 | Details |
| 5 | Tacrolimus | Brand | Tier 2 | $5.00 | Details |
| 6 | Fluphenazine Hydrochloride | Brand | Tier 2 | $5.00 | Details |
| 7 | Clarithromycin | Brand | Tier 2 | $5.00 | Details |
| 8 | Phenobarbital Oral Solution Phenobarbital Oral | Brand | Tier 4 | 0.4% coinsurance | Details |
| 9 | CALQUENCE acalabrutinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Fluphenazine Hydrochloride | Brand | Tier 2 | $5.00 | Details |
| 11 | Methylphenidate Hydrochloride | Brand | Tier 2 | $5.00 | Details |
| 12 | KISQALI ribociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | NITROGLYCERIN nitroglycerin | Brand | Tier 2 | $5.00 | Details |
| 14 | Nitroglycerin nitroglycerin | Brand | Tier 2 | $5.00 | Details |
| 15 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 3 | 0.2% coinsurance | Details |
| 16 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Talzenna talazoparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 18 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 2 | $5.00 | Details |
| 19 | Heparin Sodium | Brand | Tier 2 | $5.00 | Details |
| 20 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 967 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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