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Verified against CMS.gov · on July 2026 Plan ID: H5826-014 Cross-check on Medicare.gov →

Community Health Plan of WA Dual Complete (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
905 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 Talzenna talazoparib Brand Tier 5 $0.00 Details
2 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 6 $0.00 Details
3 Loxapine Brand Tier 2 $0.00 Details
4 PedvaxHIB Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) Brand Tier 3 $0.00 Details
5 Erlotinib Brand Tier 5 $0.00 Details
6 Clarithromycin Brand Tier 3 $0.00 Details
7 JANUVIA sitagliptin Brand Tier 3 $0.00 Details
8 Amoxapine Brand Tier 3 $0.00 Details
9 Xospata gilteritinib Brand Tier 5 $0.00 Details
10 Ibrance palbociclib Brand Tier 5 $0.00 Details
11 Propranolol Hydrochloride propranolol hydrochloride Brand Tier 1 $0.00 Details
12 ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live Brand Tier 3 $0.00 Details
13 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 $0.00 Details
14 Erlotinib Brand Tier 5 $0.00 Details
15 Ibrance palbociclib Brand Tier 5 $0.00 Details
16 KOSELUGO SELUMETINIB Brand Tier 5 $0.00 Details
17 Talzenna talazoparib Brand Tier 5 $0.00 Details
18 Buspirone Hydrochloride Brand Tier 2 $0.00 Details
19 Cobenfy xanomeline and trospium chloride Brand Tier 4 $0.00 Details
20 Metoprolol Tartrate metoprolol tartrate Brand Tier 1 $0.00 Details

Showing 20 of 905 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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