True Blue Rx 34 (HMO)
$28.80 /month
Monthly Premium
Among the lowest-premium plans in 2026
$150.00
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 | Trelegy Ellipta fluticasone furoate, umeclidinium bromide and vilanterol trifenatate | Brand | Tier 3 | $40.00 | Details |
| 2 | Amoxapine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 3 | Xalkori CRIZOTINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Hydrocortisone | Brand | Tier 2 | $7.00 | Details |
| 5 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 6 | Venlafaxine Hydrochloride | Brand | Tier 2 | $7.00 | Details |
| 7 | Dexamethasone | Brand | Tier 2 | $7.00 | Details |
| 8 | Lorbrena lorlatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 9 | Diazepam | Brand | Tier 2 | $7.00 | Details |
| 10 | Venlafaxine Hydrochloride | Brand | Tier 2 | $7.00 | Details |
| 11 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 12 | Combivent Respimat ipratropium bromide and albuterol | Brand | Tier 4 | 0.3% coinsurance | Details |
| 13 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 14 | Morphine Sulfate | Brand | Tier 4 | 0.3% coinsurance | Details |
| 15 | Aptivus tipranavir | Brand | Tier 5 | 0.3% coinsurance | Details |
| 16 | Rufinamide | Brand | Tier 4 | 0.3% coinsurance | Details |
| 17 | Tacrolimus | Brand | Tier 4 | 0.3% coinsurance | Details |
| 18 | Priftin rifapentine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 19 | Primaquine Phosphate | Brand | Tier 4 | 0.3% coinsurance | Details |
| 20 | BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN | Brand | Tier 3 | $40.00 | Details |
Showing 20 of 862 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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