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Verified against CMS.gov · on Jul 1, 2026 Plan ID: H3347-018 Cross-check on Medicare.gov →

Elderplan Select (HMO-POS I-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
979 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 Leucovorin Calcium Brand Tier 3 $0.00 Details
2 Nitroglycerin nitroglycerin Brand Tier 3 $0.00 Details
3 VALPROIC ACID Brand Tier 3 $0.00 Details
4 Dicyclomine Dicyclomine hydrochloride Brand Tier 3 $0.00 Details
5 Cilostazol Brand Tier 2 $0.00 Details
6 Fluphenazine Hydrochloride Brand Tier 4 $0.00 Details
7 Nefazodone Hydrochloride Brand Tier 4 $0.00 Details
8 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 3 $0.00 Details
9 Talzenna talazoparib Brand Tier 5 $0.00 Details
10 Clozapine Brand Tier 4 $0.00 Details
11 Valsartan valsartan Brand Tier 1 $0.00 Details
12 Pilocarpine Hydrochloride Brand Tier 3 $0.00 Details
13 Metoclopramide Brand Tier 1 $0.00 Details
14 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 3 $0.00 Details
15 Warfarin Sodium Brand Tier 1 $0.00 Details
16 HYDROCODONE BITARTRATE AND ACETAMINOPHEN Brand Tier 3 $0.00 Details
17 Midodrine Hydrochloride midodrine hydrochloride Brand Tier 3 $0.00 Details
18 Aptivus tipranavir Brand Tier 5 $0.00 Details
19 Amoxicillin Brand Tier 1 $0.00 Details
20 Amoxapine Brand Tier 3 $0.00 Details

Showing 20 of 979 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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