CCA Senior Care Options (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
1,009
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 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 2 | Leucovorin Calcium | Brand | Tier 1 | $0.00 | Details |
| 3 | Fiasp insulin aspart injection | Brand | Tier 1 | $0.00 | Details |
| 4 | TRUQAP capivasertib | Brand | Tier 1 | $0.00 | Details |
| 5 | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | Brand | Tier 1 | $0.00 | Details |
| 6 | Perphenazine perphenazine | Brand | Tier 1 | $0.00 | Details |
| 7 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 8 | Doxepin Hydrochloride doxepin hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 9 | Amoxicillin and Clavulanate Potassium | Brand | Tier 1 | $0.00 | Details |
| 10 | Ciprofloxacin | Brand | Tier 1 | $0.00 | Details |
| 11 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 12 | Prograf Tacrolimus | Brand | Tier 1 | $0.00 | Details |
| 13 | Mefloquine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 14 | Pioglitazone | Brand | Tier 1 | $0.00 | Details |
| 15 | Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 1 | $0.00 | Details |
| 16 | Lupron Depot leuprolide acetate | Brand | Tier 1 | $0.00 | Details |
| 17 | Prednisone | Brand | Tier 1 | $0.00 | Details |
| 18 | Venlafaxine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 19 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 20 | NOVOLOG insulin aspart | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 1,009 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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