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Verified against CMS.gov · on Oct 1, 2026 Plan ID: H0571-001 Cross-check on Medicare.gov →

CCHP Senior Program (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
930 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 Paxlovid nirmatrelvir and ritonavir Brand Tier 2 $0.00 Details
2 Haloperidol Brand Tier 2 $0.00 Details
3 Mekinist trametinib Brand Tier 5 0.3% coinsurance Details
4 Cyclosporine Brand Tier 2 $0.00 Details
5 Risperidone Brand Tier 2 $0.00 Details
6 Clonidine Hydrochloride Brand Tier 1 $0.00 Details
7 Erlotinib Brand Tier 5 0.3% coinsurance Details
8 Perphenazine perphenazine Brand Tier 2 $0.00 Details
9 Isosorbide Dinitrate Brand Tier 2 $0.00 Details
10 Risperidone Brand Tier 5 0.3% coinsurance Details
11 Lynparza olaparib Brand Tier 5 0.3% coinsurance Details
12 NITROGLYCERIN nitroglycerin Brand Tier 2 $0.00 Details
13 Bupropion Hydrochloride SR SR bupropion hydrochloride Brand Tier 2 $0.00 Details
14 Dupixent Dupilumab Brand Tier 5 0.3% coinsurance Details
15 SOMAVERT pegvisomant Brand Tier 5 0.3% coinsurance Details
16 Carbidopa and levodopa Brand Tier 2 $0.00 Details
17 Everolimus Brand Tier 5 0.3% coinsurance Details
18 Cefuroxime Brand Tier 2 $0.00 Details
19 Trumenba meningococcal group B vaccine Brand Tier 3 $45.00 Details
20 Lenalidomide Brand Tier 5 0.3% coinsurance Details

Showing 20 of 930 covered drugs.

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States Served (1)

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

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