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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H4875-018 Cross-check on Medicare.gov →

PriorityMedicare Thrive Plus (PPO)

Plan Year 2026
$41.60 /month
Monthly Premium
$100.00 Annual Deductible
978 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 Dexamethasone Brand Tier 2 $7.00 Details
2 Haloperidol Brand Tier 2 $7.00 Details
3 Amoxicillin Brand Tier 2 $7.00 Details
4 Chlorpromazine Hydrochloride Brand Tier 4 0.4% coinsurance Details
5 Ciprofloxacin in Dextrose ciprofloxacin Brand Tier 4 0.4% coinsurance Details
6 Buspirone Hydrochloride Brand Tier 2 $7.00 Details
7 Xtandi enzalutamide Brand Tier 5 0.3% coinsurance Details
8 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 0.2% coinsurance Details
9 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $1.00 Details
10 KOSELUGO SELUMETINIB Brand Tier 5 0.3% coinsurance Details
11 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
12 ZEJULA niraparib Brand Tier 5 0.3% coinsurance Details
13 Cromolyn Sodium Brand Tier 3 0.2% coinsurance Details
14 Fluphenazine Hydrochloride Brand Tier 3 0.2% coinsurance Details
15 Probenecid Brand Tier 3 0.2% coinsurance Details
16 Imatinib Mesylate Brand Tier 3 0.2% coinsurance Details
17 CALQUENCE acalabrutinib Brand Tier 5 0.3% coinsurance Details
18 PODOFILOX Brand Tier 3 0.2% coinsurance Details
19 Loxapine Brand Tier 2 $7.00 Details
20 Venlafaxine Hydrochloride Brand Tier 2 $7.00 Details

Showing 20 of 978 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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