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Drug Coverage Check · Plan Year 2026

Does this plan cover
VARIVAX?

Verified · CMS.gov Plan ID: H4875-020 Cross-check on Medicare.gov →
Verified · CMS 2026

YES — Covered

VARIVAX is covered on Tier 3

Cost Details

30-Day Supply

Preferred Pharmacy
0.2% coinsurance
Standard Pharmacy
0.3% coinsurance

90-Day / Mail Order

Preferred / Mail Order
0.2% coinsurance

Deductible

Applies to This Drug?
Yes — deductible applies before copay
Plan Deductible
$200.00 / year