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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H2593-001 Cross-check on Medicare.gov →

Wellpoint Medicare Advantage 2 (HMO-POS)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
959 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 VARIVAX Varicella Virus Vaccine Live Brand Tier 6 $0.00 Details
2 Clozapine Brand Tier 2 $0.00 Details
3 Amoxicillin Brand Tier 3 0.2% coinsurance Details
4 Venclexta Venetoclax Brand Tier 3 0.2% coinsurance Details
5 RETEVMO selpercatinib Brand Tier 5 0.3% coinsurance Details
6 KISQALI ribociclib Brand Tier 5 0.3% coinsurance Details
7 Aptivus tipranavir Brand Tier 5 0.3% coinsurance Details
8 Amoxicillin Brand Tier 2 $0.00 Details
9 Diazepam Brand Tier 2 $0.00 Details
10 VAQTA hepatitis A vaccine, inactivated Brand Tier 6 $0.00 Details
11 Dexamethasone Brand Tier 2 $0.00 Details
12 Erlotinib Brand Tier 5 0.3% coinsurance Details
13 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
14 Acarbose Brand Tier 2 $0.00 Details
15 Fosamprenavir Calcium fosamprenavir calcium Brand Tier 4 0.3% coinsurance Details
16 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.3% coinsurance Details
17 Clozapine Brand Tier 4 0.3% coinsurance Details
18 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
19 Dicloxacillin Sodium Brand Tier 2 $0.00 Details
20 Amoxapine Brand Tier 2 $0.00 Details

Showing 20 of 959 covered drugs.

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States Served (1)

This plan is available to Medicare beneficiaries in the following states.

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