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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H5472-002 Cross-check on Medicare.gov →

Alignment Health Heart & Diabetes (HMO-POS C-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
974 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 Danazol Brand Tier 4 $0.00 Details
2 Hydrocortisone Brand Tier 1 $0.00 Details
3 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
4 HYDROCODONE BITARTRATE AND ACETAMINOPHEN Brand Tier 2 $0.00 Details
5 Everolimus Brand Tier 5 $0.00 Details
6 Methotrexate Brand Tier 4 $0.00 Details
7 Ipratropium Bromide Brand Tier 2 $0.00 Details
8 PredniSONE Brand Tier 1 $0.00 Details
9 PIQRAY alpelisib Brand Tier 5 $0.00 Details
10 Imatinib Mesylate Brand Tier 5 $0.00 Details
11 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 1 $0.00 Details
12 Dicloxacillin Sodium Brand Tier 2 $0.00 Details
13 Leucovorin Calcium Brand Tier 3 $0.00 Details
14 Diltiazem Hydrochloride Brand Tier 2 $0.00 Details
15 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
16 TRUQAP capivasertib Brand Tier 5 $0.00 Details
17 Amoxicillin Brand Tier 1 $0.00 Details
18 ISENTRESS RALTEGRAVIR Brand Tier 5 $0.00 Details
19 Leucovorin Calcium Brand Tier 4 $0.00 Details
20 Chlorpromazine Hydrochloride Brand Tier 4 $0.00 Details

Showing 20 of 974 covered drugs.

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States Served (1)

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

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