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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H3727-002 Cross-check on Medicare.gov →

CommuniCare Advantage ISNP (HMO I-SNP)

Plan Year 2026
$31.40 /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 Tiagabine Hydrochloride Brand Tier 1 $0.00 Details
2 TRETINOIN tretinoin Brand Tier 1 $0.00 Details
3 Verzenio abemaciclib Brand Tier 1 $0.00 Details
4 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 1 $0.00 Details
5 ENTRESTO Sacubitril and Valsartan Brand Tier 1 $0.00 Details
6 Perphenazine perphenazine Brand Tier 1 $0.00 Details
7 VARIVAX Varicella Virus Vaccine Live Brand Tier 1 $0.00 Details
8 Dexamethasone Brand Tier 1 $0.00 Details
9 PredniSONE Brand Tier 1 $0.00 Details
10 Tiagabine Hydrochloride Brand Tier 1 $0.00 Details
11 Chlorpromazine Hydrochloride Brand Tier 1 $0.00 Details
12 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 1 $0.00 Details
13 KOSELUGO SELUMETINIB Brand Tier 1 $0.00 Details
14 Paxlovid nirmatrelvir and ritonavir Brand Tier 1 $0.00 Details
15 Baclofen baclofen Brand Tier 1 $0.00 Details
16 Medroxyprogesterone Acetate Brand Tier 1 $0.00 Details
17 Pioglitazone Brand Tier 1 $0.00 Details
18 Clozapine Brand Tier 1 $0.00 Details
19 Haloperidol Brand Tier 1 $0.00 Details
20 Pilocarpine Hydrochloride Brand Tier 1 $0.00 Details

Showing 20 of 985 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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States Served (1)

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

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