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Verified against CMS.gov · on April 2026 Plan ID: H5009-011 Cross-check on Medicare.gov →

Regence MedAdvantage + Rx Primary (PPO)

Plan Year 2026
$4.70 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
1,023 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 FARXIGA DAPAGLIFLOZIN Brand Tier 3 0.2% coinsurance Details
2 Propranolol Hydrochloride propranolol hydrochloride Brand Tier 2 $4.00 Details
3 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 3 0.2% coinsurance Details
4 Gilotrif afatinib Brand Tier 5 0.3% coinsurance Details
5 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
6 JANUVIA sitagliptin Brand Tier 3 0.2% coinsurance Details
7 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.4% coinsurance Details
8 TicoVac Tick-Borne Encephalitis Vaccine Brand Tier 3 0.2% coinsurance Details
9 Tacrolimus Brand Tier 3 0.2% coinsurance Details
10 Methylphenidate Hydrochloride Brand Tier 3 0.2% coinsurance Details
11 PredniSONE Brand Tier 1 $0.00 Details
12 PENBRAYA meningococcal groups a, b, c, w, and y vaccine Brand Tier 3 0.2% coinsurance Details
13 Tafinlar dabrafenib Brand Tier 5 0.3% coinsurance Details
14 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 3 0.2% coinsurance Details
15 ENTRESTO Sacubitril and Valsartan Brand Tier 3 0.2% coinsurance Details
16 Probenecid Brand Tier 3 0.2% coinsurance Details
17 LACTULOSE Lactulose Brand Tier 2 $4.00 Details
18 CALQUENCE acalabrutinib Brand Tier 5 0.3% coinsurance Details
19 Warfarin Sodium Brand Tier 1 $0.00 Details
20 Valsartan valsartan Brand Tier 1 $0.00 Details

Showing 20 of 1,023 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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