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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H4346-030 Cross-check on Medicare.gov →

Anthem I CareMore Kidney Care (HMO-POS C-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 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 Dextrose and Sodium Chloride Brand Tier 2 $0.00 Details
2 Haloperidol Brand Tier 2 $0.00 Details
3 Ciprofloxacin in Dextrose ciprofloxacin Brand Tier 4 0.3% coinsurance Details
4 Cilostazol Brand Tier 2 $0.00 Details
5 SOMAVERT pegvisomant Brand Tier 5 0.3% coinsurance Details
6 Cobenfy xanomeline and trospium chloride Brand Tier 5 0.3% coinsurance Details
7 Levothyroxine Sodium levothyroxine sodium Brand Tier 6 $0.00 Details
8 Vizimpro dacomitinib Brand Tier 5 0.3% coinsurance Details
9 BOSULIF Bosutinib Brand Tier 5 0.3% coinsurance Details
10 NOVOLOG insulin aspart Brand Tier 3 0.2% coinsurance Details
11 PREVYMIS LETERMOVIR Brand Tier 5 0.3% coinsurance Details
12 CRESEMBA isavuconazonium sulfate Brand Tier 5 0.3% coinsurance Details
13 Loxapine Brand Tier 2 $0.00 Details
14 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 $0.00 Details
15 Fluphenazine Hydrochloride Brand Tier 2 $0.00 Details
16 Cobenfy xanomeline and trospium chloride Brand Tier 5 0.3% coinsurance Details
17 FENTANYL Brand Tier 4 0.3% coinsurance Details
18 ZEJULA niraparib Brand Tier 5 0.3% coinsurance Details
19 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
20 VARIVAX Varicella Virus Vaccine Live Brand Tier 6 $0.00 Details

Showing 20 of 959 covered drugs.

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States Served (1)

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

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