CommuniCare Advantage ISNP (HMO I-SNP)
$38.40 /month
Monthly Premium
$615.00
Annual Deductible
985
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 | KOSELUGO SELUMETINIB | Brand | Tier 1 | $0.00 | Details |
| 2 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 1 | $0.00 | Details |
| 3 | Baclofen baclofen | Brand | Tier 1 | $0.00 | Details |
| 4 | Medroxyprogesterone Acetate | Brand | Tier 1 | $0.00 | Details |
| 5 | Pioglitazone | Brand | Tier 1 | $0.00 | Details |
| 6 | Clozapine | Brand | Tier 1 | $0.00 | Details |
| 7 | Haloperidol | Brand | Tier 1 | $0.00 | Details |
| 8 | Pilocarpine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 9 | JANUVIA sitagliptin | Brand | Tier 1 | $0.00 | Details |
| 10 | Sodium Chloride | Brand | Tier 1 | $0.00 | Details |
| 11 | Dupixent Dupilumab | Brand | Tier 1 | $0.00 | Details |
| 12 | Cefuroxime | Brand | Tier 1 | $0.00 | Details |
| 13 | Amoxapine | Brand | Tier 1 | $0.00 | Details |
| 14 | Carbidopa and levodopa | Brand | Tier 1 | $0.00 | Details |
| 15 | Neomycin Sulfate | Brand | Tier 1 | $0.00 | Details |
| 16 | Potassium Chloride | Brand | Tier 1 | $0.00 | Details |
| 17 | Jardiance Empagliflozin | Brand | Tier 1 | $0.00 | Details |
| 18 | Combivent Respimat ipratropium bromide and albuterol | Brand | Tier 1 | $0.00 | Details |
| 19 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 20 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 985 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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