Skip to main content
Verified against CMS.gov · on Apr 1, 2026 Plan ID: H0544-005 Cross-check on Medicare.gov →

Anthem I CareMore Home Care (HMO I-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$100.00 Annual Deductible
959 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 Everolimus Brand Tier 5 $0.00 Details
2 Balsalazide Disodium Brand Tier 2 $0.00 Details
3 Ipratropium Bromide Brand Tier 2 $0.00 Details
4 PredniSONE Brand Tier 1 $0.00 Details
5 Chlorpromazine Hydrochloride Brand Tier 2 $0.00 Details
6 Rufinamide Brand Tier 5 $0.00 Details
7 Dicyclomine Dicyclomine hydrochloride Brand Tier 2 $0.00 Details
8 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 $0.00 Details
9 ETHOSUXIMIDE Brand Tier 2 $0.00 Details
10 FARXIGA DAPAGLIFLOZIN Brand Tier 3 $0.00 Details
11 Amoxapine Brand Tier 2 $0.00 Details
12 Trumenba meningococcal group B vaccine Brand Tier 6 $0.00 Details
13 Leucovorin Calcium Brand Tier 2 $0.00 Details
14 Warfarin Sodium Brand Tier 1 $0.00 Details
15 INLYTA axitinib Brand Tier 5 $0.00 Details
16 Xtandi enzalutamide Brand Tier 5 $0.00 Details
17 Dupixent Dupilumab Brand Tier 5 $0.00 Details
18 SCEMBLIX asciminib Brand Tier 5 $0.00 Details
19 Levothyroxine Sodium levothyroxine sodium Brand Tier 6 $0.00 Details
20 Hydrochlorothiazide Brand Tier 6 $0.00 Details

Showing 20 of 959 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
Compare Plans →

States Served (1)

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

Find Your Best Medicare Plan for 2026

Compare plans side-by-side with the help of a licensed Medicare specialist. Free service — no obligation.

Compare Medicare Plans Free
  • ✓ Compare all plans in your area
  • ✓ Licensed agents available 7 days a week
  • ✓ No cost, no obligation

We may receive a referral fee if you enroll through this link. DrugCovered is not affiliated with Medicare or any government agency. Plan availability and costs vary by ZIP code. Not all plans may be available in your area.