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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H1350-032 Cross-check on Medicare.gov →

True Blue Rx 32PSP (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$175.00 Annual Deductible
862 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 CRESEMBA isavuconazonium sulfate Brand Tier 5 0.3% coinsurance Details
2 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
3 TicoVac Tick-Borne Encephalitis Vaccine Brand Tier 3 $40.00 Details
4 Phenobarbital Brand Tier 2 $6.00 Details
5 Estradiol Brand Tier 2 $6.00 Details
6 Dicyclomine Dicyclomine hydrochloride Brand Tier 3 $40.00 Details
7 Sodium Chloride Brand Tier 4 0.3% coinsurance Details
8 TRETINOIN tretinoin Brand Tier 4 0.3% coinsurance Details
9 Trelegy Ellipta fluticasone furoate, umeclidinium bromide and vilanterol trifenatate Brand Tier 3 $40.00 Details
10 Amoxapine Brand Tier 4 0.3% coinsurance Details
11 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
12 Hydrocortisone Brand Tier 2 $6.00 Details
13 Warfarin Sodium Brand Tier 1 $0.00 Details
14 Venlafaxine Hydrochloride Brand Tier 2 $6.00 Details
15 Dexamethasone Brand Tier 2 $6.00 Details
16 Lorbrena lorlatinib Brand Tier 5 0.3% coinsurance Details
17 Diazepam Brand Tier 2 $6.00 Details
18 Venlafaxine Hydrochloride Brand Tier 2 $6.00 Details
19 Warfarin Sodium Brand Tier 1 $0.00 Details
20 Combivent Respimat ipratropium bromide and albuterol Brand Tier 4 0.3% coinsurance Details

Showing 20 of 862 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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