Anthem Full Dual Advantage (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$200.00
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 | Nefazodone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 2 | Diltiazem Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 3 | Fluphenazine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 4 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 5 | Phenobarbital | Brand | Tier 2 | $0.00 | Details |
| 6 | EVOTAZ atazanavir and cobicistat | Brand | Tier 5 | $0.00 | Details |
| 7 | Mercaptopurine | Brand | Tier 2 | $0.00 | Details |
| 8 | Buspirone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 9 | Metoprolol Tartrate metoprolol tartrate | Brand | Tier 1 | $0.00 | Details |
| 10 | Daurismo glasdegib | Brand | Tier 5 | $0.00 | Details |
| 11 | Ciprofloxacin | Brand | Tier 1 | $0.00 | Details |
| 12 | CALQUENCE acalabrutinib | Brand | Tier 5 | $0.00 | Details |
| 13 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 2 | $0.00 | Details |
| 14 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $0.00 | Details |
| 15 | Calcipotriene | Brand | Tier 4 | $0.00 | Details |
| 16 | COARTEM artemether and lumefantrine | Brand | Tier 4 | $0.00 | Details |
| 17 | DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate | Brand | Tier 5 | $0.00 | Details |
| 18 | Heparin Sodium | Brand | Tier 2 | $0.00 | Details |
| 19 | Pyridostigmine Bromide PYRIDOSTIGMINE BROMIDE | Brand | Tier 2 | $0.00 | Details |
| 20 | Linzess linaclotide | Brand | Tier 3 | $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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