CalOptima Health OneCare Complete (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
1,182
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 | Abrysvo Respiratory Syncytial Virus Vaccine | Brand | Tier 2 | $0.00 | Details |
| 2 | PedvaxHIB Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) | Brand | Tier 2 | $0.00 | Details |
| 3 | Cobenfy xanomeline and trospium chloride | Brand | Tier 2 | $0.00 | Details |
| 4 | Amoxicillin and Clavulanate Potassium | Brand | Tier 1 | $0.00 | Details |
| 5 | Scopolamine scopolamine | Brand | Tier 1 | $0.00 | Details |
| 6 | Budesonide | Brand | Tier 1 | $0.00 | Details |
| 7 | TAGRISSO osimertinib | Brand | Tier 2 | $0.00 | Details |
| 8 | NOVOLOG insulin aspart | Brand | Tier 2 | $0.00 | Details |
| 9 | Ofev nintedanib | Brand | Tier 2 | $0.00 | Details |
| 10 | Mercaptopurine | Brand | Tier 1 | $0.00 | Details |
| 11 | Erlotinib | Brand | Tier 1 | $0.00 | Details |
| 12 | Teflaro ceftaroline fosamil | Brand | Tier 2 | $0.00 | Details |
| 13 | BOSULIF Bosutinib | Brand | Tier 2 | $0.00 | Details |
| 14 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 15 | Prochlorperazine | Brand | Tier 1 | $0.00 | Details |
| 16 | Dexamethasone | Brand | Tier 1 | $0.00 | Details |
| 17 | Tiagabine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 18 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 19 | Loxapine | Brand | Tier 1 | $0.00 | Details |
| 20 | Buspirone Hydrochloride | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 1,182 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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