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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H5969-003 Cross-check on Medicare.gov →

AlohaCare Advantage (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
962 Drugs Covered
0 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 5 See Plan Details
2 Mifepristone Brand Tier 5 See Plan Details
3 Acamprosate Calcium acamprosate calcium enteric-coated Brand Tier 4 See Plan Details
4 Pyridostigmine Bromide PYRIDOSTIGMINE BROMIDE Brand Tier 2 See Plan Details
5 Amoxicillin Brand Tier 2 See Plan Details
6 Cyclosporine Modified Modified Cyclosporine Brand Tier 4 See Plan Details
7 Potassium Chloride Brand Tier 2 See Plan Details
8 Fosamprenavir Calcium fosamprenavir calcium Brand Tier 5 See Plan Details
9 Clotrimazole clotrimazole Brand Tier 3 See Plan Details
10 Tiagabine Hydrochloride Brand Tier 4 See Plan Details
11 Amoxicillin and Clavulanate Potassium Brand Tier 2 See Plan Details
12 Propranolol Hydrochloride propranolol hydrochloride Brand Tier 2 See Plan Details
13 HYDROCODONE BITARTRATE AND ACETAMINOPHEN Brand Tier 2 See Plan Details
14 Perphenazine perphenazine Brand Tier 4 See Plan Details
15 VAQTA hepatitis A vaccine, inactivated Brand Tier 1 See Plan Details
16 Linzess linaclotide Brand Tier 3 See Plan Details
17 JAYPIRCA pirtobrutinib Brand Tier 5 See Plan Details
18 Ciprofloxacin in Dextrose ciprofloxacin Brand Tier 3 See Plan Details
19 TRETINOIN tretinoin Brand Tier 4 See Plan Details
20 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 See Plan Details

Showing 20 of 962 covered drugs.

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