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Drug Coverage Check · Plan Year 2026

Does this plan cover
BRILINTA?

Verified · CMS.gov Plan ID: H4676-001 Cross-check on Medicare.gov →
Verified · CMS 2026

YES — Covered

BRILINTA is covered on Tier 4

30-day copay: $100.00 at a preferred pharmacy

Cost Details

30-Day Supply

Preferred Pharmacy
$100.00
Standard Pharmacy
$100.00

90-Day / Mail Order

Preferred / Mail Order
$0.00
Standard Pharmacy
$0.00

Deductible

Applies to This Drug?
Yes — deductible applies before copay
Plan Deductible
$0.00 / year

Lower-Cost Plans for BRILINTA

These plans may offer a lower copay for BRILINTA. Compare total annual costs including premium.

# Plan Name Tier 30-Day Copay Monthly Premium Rating
1 Personal Choice 65 Achieve Rx (PPO) Tier 3 See Plan $0.00/mo View
2 Keystone 65 Focus Rx (HMO-POS) Tier 3 See Plan $0.00/mo View
3 Medicare Plus Blue Essential (PPO) Tier 4 See Plan $0.00/mo View
4 Medicare Plus Blue Essential (PPO) Tier 4 See Plan $0.00/mo View
5 SummaCare Medicare Quartz (HMO) Tier 3 See Plan $0.00/mo View

Therapeutically Similar Alternatives

Talk to your doctor about these therapeutically similar medications. They may be covered at a lower tier or with fewer restrictions.