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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H9096-004 Cross-check on Medicare.gov →

Dean Advantage Essential (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
932 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 Diltiazem Hydrochloride Brand Tier 2 $5.00 Details
2 Gilotrif afatinib Brand Tier 5 0.3% coinsurance Details
3 ISENTRESS RALTEGRAVIR Brand Tier 5 0.3% coinsurance Details
4 Cyclosporine Modified Modified Cyclosporine Brand Tier 3 0.2% coinsurance Details
5 Combivent Respimat ipratropium bromide and albuterol Brand Tier 3 0.2% coinsurance Details
6 Medroxyprogesterone Acetate Brand Tier 2 $5.00 Details
7 TESTOSTERONE ENANTHATE Brand Tier 3 0.2% coinsurance Details
8 Nefazodone Hydrochloride Brand Tier 2 $5.00 Details
9 VERQUVO vericiguat Brand Tier 3 0.2% coinsurance Details
10 Cobenfy xanomeline and trospium chloride Brand Tier 4 0.5% coinsurance Details
11 Levothyroxine Sodium levothyroxine sodium Brand Tier 2 $5.00 Details
12 Isosorbide Dinitrate Brand Tier 2 $5.00 Details
13 Fluvoxamine maleate Brand Tier 1 $0.00 Details
14 Tafinlar dabrafenib Brand Tier 5 0.3% coinsurance Details
15 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.5% coinsurance Details
16 Methylphenidate Hydrochloride Brand Tier 2 $5.00 Details
17 VALPROIC ACID Brand Tier 3 0.2% coinsurance Details
18 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.5% coinsurance Details
19 Cilostazol Brand Tier 1 $0.00 Details
20 Levothyroxine Sodium levothyroxine sodium Brand Tier 2 $5.00 Details

Showing 20 of 932 covered drugs.

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States Served (1)

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

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