Anthem Dual Advantage (PPO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
1,022
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 | Amoxicillin and Clavulanate Potassium | Brand | Tier 2 | See Plan | Details |
| 2 | Clonidine Hydrochloride | Brand | Tier 1 | See Plan | Details |
| 3 | Metoprolol Tartrate metoprolol tartrate | Brand | Tier 1 | See Plan | Details |
| 4 | Daurismo glasdegib | Brand | Tier 5 | See Plan | Details |
| 5 | Ciprofloxacin | Brand | Tier 1 | See Plan | Details |
| 6 | Spiriva Respimat tiotropium bromide inhalation spray | Brand | Tier 3 | See Plan | Details |
| 7 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | See Plan | Details |
| 8 | Cilostazol | Brand | Tier 2 | See Plan | Details |
| 9 | Nitroglycerin nitroglycerin | Brand | Tier 2 | See Plan | Details |
| 10 | ETHOSUXIMIDE | Brand | Tier 3 | See Plan | Details |
| 11 | Tacrolimus | Brand | Tier 4 | See Plan | Details |
| 12 | PIQRAY alpelisib | Brand | Tier 5 | See Plan | Details |
| 13 | Xalkori CRIZOTINIB | Brand | Tier 5 | See Plan | Details |
| 14 | Pyridostigmine Bromide PYRIDOSTIGMINE BROMIDE | Brand | Tier 3 | See Plan | Details |
| 15 | Lenalidomide | Brand | Tier 5 | See Plan | Details |
| 16 | Chlorpromazine Hydrochloride | Brand | Tier 4 | See Plan | Details |
| 17 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 6 | See Plan | Details |
| 18 | BOSULIF Bosutinib | Brand | Tier 5 | See Plan | Details |
| 19 | Dicyclomine Hydrochloride | Brand | Tier 1 | See Plan | Details |
| 20 | SCEMBLIX asciminib | Brand | Tier 5 | See Plan | Details |
Showing 20 of 1,022 covered drugs.
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