DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP)
$8.90 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
964
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 | Risperidone | Brand | Tier 5 | $0.00 | Details |
| 2 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 3 | KISQALI ribociclib | Brand | Tier 5 | $0.00 | Details |
| 4 | Gentamicin Sulfate | Brand | Tier 3 | $0.00 | Details |
| 5 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 6 | Hydrochlorothiazide | Brand | Tier 1 | $0.00 | Details |
| 7 | Talzenna talazoparib | Brand | Tier 5 | $0.00 | Details |
| 8 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 9 | SOMAVERT pegvisomant | Brand | Tier 5 | $0.00 | Details |
| 10 | Cefuroxime | Brand | Tier 3 | $0.00 | Details |
| 11 | Baclofen baclofen | Brand | Tier 2 | $0.00 | Details |
| 12 | LACTULOSE Lactulose | Brand | Tier 2 | $0.00 | Details |
| 13 | PODOFILOX | Brand | Tier 3 | $0.00 | Details |
| 14 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 15 | Kaletra Lopinavir and Ritonavir | Brand | Tier 4 | $0.00 | Details |
| 16 | Prochlorperazine | Brand | Tier 4 | $0.00 | Details |
| 17 | Venlafaxine Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 18 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 19 | ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
| 20 | REYATAZ ATAZANAVIR | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 964 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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