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Verified against CMS.gov · on Oct 1, 2026 Plan ID: H4140-012 Cross-check on Medicare.gov →

DrSelect (HMO)

Plan Year 2026
$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 Bupropion Hydrochloride SR SR bupropion hydrochloride Brand Tier 2 $0.00 Details
2 KISQALI ribociclib Brand Tier 5 $0.00 Details
3 FARXIGA DAPAGLIFLOZIN Brand Tier 3 $0.00 Details
4 Xalkori CRIZOTINIB Brand Tier 5 $0.00 Details
5 Verzenio abemaciclib Brand Tier 5 $0.00 Details
6 PIQRAY alpelisib Brand Tier 5 $0.00 Details
7 VALPROIC ACID Brand Tier 2 $0.00 Details
8 PredniSONE Brand Tier 1 $0.00 Details
9 Medroxyprogesterone Acetate Brand Tier 1 $0.00 Details
10 Nefazodone Hydrochloride Brand Tier 2 $0.00 Details
11 KOSELUGO SELUMETINIB Brand Tier 5 $0.00 Details
12 Talzenna talazoparib Brand Tier 5 $0.00 Details
13 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 2 $0.00 Details
14 Cyclosporine Brand Tier 2 $0.00 Details
15 Acamprosate Calcium acamprosate calcium enteric-coated Brand Tier 2 $0.00 Details
16 Dexamethasone Brand Tier 1 $0.00 Details
17 Xalkori CRIZOTINIB Brand Tier 5 $0.00 Details
18 VAQTA hepatitis A vaccine, inactivated Brand Tier 2 $0.00 Details
19 Haloperidol Brand Tier 1 $0.00 Details
20 Ciprofloxacin Brand Tier 1 $0.00 Details

Showing 20 of 1,034 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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States Served (1)

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

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