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Verified against CMS.gov · on Oct 1, 2026 Plan ID: H4875-024 Cross-check on Medicare.gov →

PriorityMedicare Thrive (PPO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$250.00 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 Ceftriaxone Sodium Brand Tier 4 0.3% coinsurance Details
2 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
3 Calcipotriene Brand Tier 3 0.2% coinsurance Details
4 Cefuroxime Brand Tier 4 0.3% coinsurance Details
5 Sulfasalazine Brand Tier 2 $8.00 Details
6 BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN Brand Tier 3 0.2% coinsurance Details
7 Dupixent Dupilumab Brand Tier 5 0.3% coinsurance Details
8 Warfarin Sodium Brand Tier 1 $2.00 Details
9 Potassium Chloride potassium chloride Brand Tier 2 $8.00 Details
10 Sodium Chloride Brand Tier 3 0.2% coinsurance Details
11 NITROGLYCERIN nitroglycerin Brand Tier 4 0.3% coinsurance Details
12 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
13 Nicotrol nicotine Brand Tier 4 0.3% coinsurance Details
14 ZOLINZA vorinostat Brand Tier 5 0.3% coinsurance Details
15 Prednisone Brand Tier 1 $2.00 Details
16 Enoxaparin Sodium Enoxaparin sodium Brand Tier 4 0.3% coinsurance Details
17 REYATAZ ATAZANAVIR Brand Tier 5 0.3% coinsurance Details
18 Everolimus Brand Tier 5 0.3% coinsurance Details
19 NOVOLOG insulin aspart Brand Tier 3 0.2% coinsurance Details
20 Lenalidomide Brand Tier 5 0.3% coinsurance 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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