Community Health Plan of WA Dual Complete (HMO D-SNP)
$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 | ZEJULA niraparib | Brand | Tier 5 | $0.00 | Details |
| 2 | Phenobarbital Oral Solution Phenobarbital Oral | Brand | Tier 4 | $0.00 | Details |
| 3 | Gilotrif afatinib | Brand | Tier 5 | $0.00 | Details |
| 4 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 5 | PIQRAY alpelisib | Brand | Tier 5 | $0.00 | Details |
| 6 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 7 | Combivent Respimat ipratropium bromide and albuterol | Brand | Tier 3 | $0.00 | Details |
| 8 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 9 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | $0.00 | Details |
| 10 | Cyclosporine | Brand | Tier 4 | $0.00 | Details |
| 11 | Danazol | Brand | Tier 4 | $0.00 | Details |
| 12 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 6 | $0.00 | Details |
| 13 | Verzenio abemaciclib | Brand | Tier 5 | $0.00 | Details |
| 14 | Clozapine | Brand | Tier 4 | $0.00 | Details |
| 15 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 16 | Depo-SubQ Provera medroxyprogesterone acetate | Brand | Tier 3 | $0.00 | Details |
| 17 | Bupropion Hydrochloride SR SR bupropion hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 18 | Tafinlar dabrafenib | Brand | Tier 5 | $0.00 | Details |
| 19 | Nicotrol nicotine | Brand | Tier 4 | $0.00 | Details |
| 20 | Cobenfy xanomeline and trospium chloride | Brand | Tier 4 | $0.00 | Details |
Showing 20 of 905 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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