Contigo Plus (HMO C-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00
Annual Deductible
950
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 | Calcipotriene | Brand | Tier 2 | $0.00 | Details |
| 2 | Fiasp insulin aspart injection | Brand | Tier 6 | $0.00 | Details |
| 3 | DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Fluphenazine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 5 | Clarithromycin | Brand | Tier 1 | $0.00 | Details |
| 6 | LACTULOSE Lactulose | Brand | Tier 1 | $0.00 | Details |
| 7 | Valsartan valsartan | Brand | Tier 6 | $0.00 | Details |
| 8 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 6 | $0.00 | Details |
| 9 | Tacrolimus | Brand | Tier 2 | $0.00 | Details |
| 10 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 11 | PIFELTRO doravirine | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 6 | $0.00 | Details |
| 13 | JAYPIRCA pirtobrutinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Nicotrol nicotine | Brand | Tier 4 | $10.00 | Details |
| 15 | ZOLINZA vorinostat | Brand | Tier 5 | 0.3% coinsurance | Details |
| 16 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 2 | $0.00 | Details |
| 17 | REYATAZ ATAZANAVIR | Brand | Tier 4 | $10.00 | Details |
| 18 | Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Chlorpromazine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 950 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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