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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H2942-003 Cross-check on Medicare.gov →

Phelps Health Medicare Advantage (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$400.00 Annual Deductible
929 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 Fiasp insulin aspart injection Brand Tier 6 $0.00 Details
2 ETHOSUXIMIDE Brand Tier 2 $10.00 Details
3 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
4 JANUVIA sitagliptin Brand Tier 3 $47.00 Details
5 Linzess linaclotide Brand Tier 3 $47.00 Details
6 Methylphenidate Hydrochloride Brand Tier 2 $10.00 Details
7 Kaletra Lopinavir and Ritonavir Brand Tier 4 $100.00 Details
8 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 $100.00 Details
9 Xtandi enzalutamide Brand Tier 5 0.3% coinsurance Details
10 Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate Brand Tier 2 $10.00 Details
11 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
12 Verzenio abemaciclib Brand Tier 5 0.3% coinsurance Details
13 Rufinamide Brand Tier 5 0.3% coinsurance Details
14 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 $100.00 Details
15 VARIVAX Varicella Virus Vaccine Live Brand Tier 3 $47.00 Details
16 Dexamethasone Brand Tier 2 $10.00 Details
17 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
18 Pilocarpine Hydrochloride Brand Tier 4 $100.00 Details
19 Warfarin Sodium Brand Tier 1 $0.00 Details
20 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details

Showing 20 of 929 covered drugs.

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States Served (1)

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

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