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Verified against CMS.gov · on July 2026 Plan ID: H6723-006 Cross-check on Medicare.gov →

MedMutual Advantage Signature (HMO-POS)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$300.00 Annual Deductible
915 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 VAQTA hepatitis A vaccine, inactivated Brand Tier 6 $0.00 Details
2 PIQRAY alpelisib Brand Tier 5 0.3% coinsurance Details
3 Dextrose and Sodium Chloride Brand Tier 4 0.4% coinsurance Details
4 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
5 Ampicillin and Sulbactam Brand Tier 4 0.4% coinsurance Details
6 HERNEXEOS zongertinib Brand Tier 5 0.3% coinsurance Details
7 Amoxicillin and Clavulanate Potassium Brand Tier 2 $0.00 Details
8 TESTOSTERONE ENANTHATE Brand Tier 3 0.2% coinsurance Details
9 FARXIGA DAPAGLIFLOZIN Brand Tier 3 0.2% coinsurance Details
10 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 6 $0.00 Details
11 Hydrocortisone Brand Tier 2 $0.00 Details
12 Amoxapine Brand Tier 3 0.2% coinsurance Details
13 HYDROCODONE BITARTRATE AND ACETAMINOPHEN Brand Tier 3 0.2% coinsurance Details
14 VAQTA hepatitis A vaccine, inactivated Brand Tier 3 0.2% coinsurance Details
15 Nefazodone Hydrochloride Brand Tier 4 0.4% coinsurance Details
16 Probenecid Brand Tier 3 0.2% coinsurance Details
17 PredniSONE Brand Tier 2 $0.00 Details
18 Clozapine Brand Tier 4 0.4% coinsurance Details
19 Xospata gilteritinib Brand Tier 5 0.3% coinsurance Details
20 TRETINOIN tretinoin Brand Tier 4 0.4% coinsurance Details

Showing 20 of 915 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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