Anthem Full Dual Advantage Aligned (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
1,017
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 | Dicloxacillin Sodium | Brand | Tier 2 | $0.00 | Details |
| 2 | Prednisone | Brand | Tier 1 | $0.00 | Details |
| 3 | Carbidopa and levodopa | Brand | Tier 2 | $0.00 | Details |
| 4 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 5 | Clozapine | Brand | Tier 4 | $0.00 | Details |
| 6 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 7 | Gilotrif afatinib | Brand | Tier 5 | $0.00 | Details |
| 8 | Spiriva Respimat tiotropium bromide inhalation spray | Brand | Tier 3 | $0.00 | Details |
| 9 | Cilostazol | Brand | Tier 2 | $0.00 | Details |
| 10 | Bupropion Hydrochloride SR SR bupropion hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 11 | Lupron Depot leuprolide acetate | Brand | Tier 5 | $0.00 | Details |
| 12 | WELIREG belzutifan | Brand | Tier 5 | $0.00 | Details |
| 13 | Morphine Sulfate | Brand | Tier 3 | $0.00 | Details |
| 14 | Mekinist trametinib | Brand | Tier 5 | $0.00 | Details |
| 15 | Baclofen | Brand | Tier 2 | $0.00 | Details |
| 16 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 3 | $0.00 | Details |
| 17 | Linzess linaclotide | Brand | Tier 3 | $0.00 | Details |
| 18 | RotaTeq Rotavirus Vaccine, Live, Oral, Pentavalent | Brand | Tier 1 | $0.00 | Details |
| 19 | Diazepam | Brand | Tier 2 | $0.00 | Details |
| 20 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
Showing 20 of 1,017 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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