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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H2400-001 Cross-check on Medicare.gov →

Abilis Health (HMO I-SNP)

Plan Year 2026
$35.90 /month
Monthly Premium
$615.00 Annual Deductible
980 Drugs Covered
2 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 REYATAZ ATAZANAVIR Brand Tier 1 $0.00 Details
2 Heparin Sodium Brand Tier 1 $0.00 Details
3 Dupixent Dupilumab Brand Tier 1 $0.00 Details
4 PODOFILOX Brand Tier 1 $0.00 Details
5 Ofev nintedanib Brand Tier 1 $0.00 Details
6 Bromocriptine mesylate Brand Tier 1 $0.00 Details
7 EVOTAZ atazanavir and cobicistat Brand Tier 1 $0.00 Details
8 Dicloxacillin Sodium Brand Tier 1 $0.00 Details
9 Leucovorin Calcium Brand Tier 1 $0.00 Details
10 Warfarin Sodium Brand Tier 1 $0.00 Details
11 Metoprolol Tartrate metoprolol tartrate Brand Tier 1 $0.00 Details
12 TRUQAP capivasertib Brand Tier 1 $0.00 Details
13 BOSULIF Bosutinib Brand Tier 1 $0.00 Details
14 Amoxicillin Brand Tier 1 $0.00 Details
15 Isosorbide Dinitrate Brand Tier 1 $0.00 Details
16 Dexamethasone Brand Tier 1 $0.00 Details
17 Lenalidomide Brand Tier 1 $0.00 Details
18 Cyclosporine Modified Modified Cyclosporine Brand Tier 1 $0.00 Details
19 Dicyclomine Hydrochloride Brand Tier 1 $0.00 Details
20 Warfarin Sodium Brand Tier 1 $0.00 Details

Showing 20 of 980 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 (2)

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

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