ContigoEnMente (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 | Nefazodone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 2 | Rufinamide | Brand | Tier 2 | $0.00 | Details |
| 3 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 4 | Diazepam | Brand | Tier 2 | $0.00 | Details |
| 5 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 2 | $0.00 | Details |
| 6 | PIQRAY alpelisib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 7 | Loxapine | Brand | Tier 2 | $0.00 | Details |
| 8 | Nefazodone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 9 | JAYPIRCA pirtobrutinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Medroxyprogesterone Acetate | Brand | Tier 1 | $0.00 | Details |
| 11 | Tafinlar dabrafenib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Valsartan valsartan | Brand | Tier 6 | $0.00 | Details |
| 13 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 14 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Perphenazine perphenazine | Brand | Tier 2 | $0.00 | Details |
| 16 | Nitroglycerin nitroglycerin | Brand | Tier 2 | $0.00 | Details |
| 17 | Ciprofloxacin | Brand | Tier 1 | $0.00 | Details |
| 18 | Prograf Tacrolimus | Brand | Tier 4 | $5.00 | Details |
| 19 | Talzenna talazoparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | 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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