DrElite-SFL (HMO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00
Annual Deductible
1,034
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 | Xalkori CRIZOTINIB | Brand | Tier 5 | $0.00 | Details |
| 2 | Pioglitazone | Brand | Tier 1 | $0.00 | Details |
| 3 | Midodrine Hydrochloride midodrine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 4 | Xtandi enzalutamide | Brand | Tier 5 | $0.00 | Details |
| 5 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 6 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | $0.00 | Details |
| 7 | Everolimus | Brand | Tier 4 | $0.00 | Details |
| 8 | Gilotrif afatinib | Brand | Tier 5 | $0.00 | Details |
| 9 | Vizimpro dacomitinib | Brand | Tier 5 | $0.00 | Details |
| 10 | NOVOLOG insulin aspart | Brand | Tier 3 | $0.00 | Details |
| 11 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 12 | Venclexta Venetoclax | Brand | Tier 3 | $0.00 | Details |
| 13 | HERNEXEOS zongertinib | Brand | Tier 5 | $0.00 | Details |
| 14 | Haloperidol | Brand | Tier 1 | $0.00 | Details |
| 15 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 16 | Ibrance palbociclib | Brand | Tier 5 | $0.00 | Details |
| 17 | ELIQUIS apixaban | Brand | Tier 3 | $0.00 | Details |
| 18 | Leucovorin Calcium | Brand | Tier 2 | $0.00 | Details |
| 19 | RYDAPT | Brand | Tier 5 | $0.00 | Details |
| 20 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 1,034 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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