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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H2256-026 Cross-check on Medicare.gov →

Tufts Medicare Preferred HMO Basic Rx (HMO)

Plan Year 2026
$10.90 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
1,010 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 Buprenorphine Brand Tier 2 $4.00 Details
2 Fluphenazine Hydrochloride Brand Tier 4 0.4% coinsurance Details
3 Amoxicillin Brand Tier 2 $4.00 Details
4 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 4 0.4% coinsurance Details
5 Danazol Brand Tier 4 0.4% coinsurance Details
6 Erlotinib Brand Tier 5 0.3% coinsurance Details
7 Fluphenazine Hydrochloride Brand Tier 4 0.4% coinsurance Details
8 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
9 Isosorbide Dinitrate Brand Tier 3 0.2% coinsurance Details
10 ZEJULA niraparib Brand Tier 5 0.3% coinsurance Details
11 Estradiol Brand Tier 2 $4.00 Details
12 ELIQUIS apixaban Brand Tier 3 0.2% coinsurance Details
13 Tacrolimus Brand Tier 4 0.4% coinsurance Details
14 ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live Brand Tier 6 $0.00 Details
15 Clonidine Hydrochloride Brand Tier 1 $0.00 Details
16 Gilotrif afatinib Brand Tier 5 0.3% coinsurance Details
17 Trumenba meningococcal group B vaccine Brand Tier 6 $0.00 Details
18 Ipratropium Bromide Brand Tier 2 $4.00 Details
19 Haloperidol Brand Tier 2 $4.00 Details
20 Jardiance Empagliflozin Brand Tier 3 0.2% coinsurance Details

Showing 20 of 1,010 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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