ATRIO Special Needs Plan (HMO D-SNP)
$10.50 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
925
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 | ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
| 2 | Nefazodone Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 3 | BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN | Brand | Tier 1 | $0.00 | Details |
| 4 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 5 | Chlorpromazine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 6 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 1 | $0.00 | Details |
| 7 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 1 | $0.00 | Details |
| 8 | Clotrimazole clotrimazole | Brand | Tier 1 | $0.00 | Details |
| 9 | Medroxyprogesterone Acetate | Brand | Tier 1 | $0.00 | Details |
| 10 | PIFELTRO doravirine | Brand | Tier 1 | $0.00 | Details |
| 11 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
| 12 | Cobenfy xanomeline and trospium chloride | Brand | Tier 1 | $0.00 | Details |
| 13 | Danazol | Brand | Tier 1 | $0.00 | Details |
| 14 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 15 | Venlafaxine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 16 | Ibrance palbociclib | Brand | Tier 1 | $0.00 | Details |
| 17 | Dexamethasone | Brand | Tier 1 | $0.00 | Details |
| 18 | NOVOLOG insulin aspart | Brand | Tier 1 | $0.00 | Details |
| 19 | CALQUENCE acalabrutinib | Brand | Tier 1 | $0.00 | Details |
| 20 | Cobenfy xanomeline and trospium chloride | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 925 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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