ElderServe MAP (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
968
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 | Hydrocortisone | Brand | Tier 1 | $0.00 | Details |
| 2 | REYATAZ ATAZANAVIR | Brand | Tier 1 | $0.00 | Details |
| 3 | Priftin rifapentine | Brand | Tier 1 | $0.00 | Details |
| 4 | Ampicillin | Brand | Tier 1 | $0.00 | Details |
| 5 | Lenalidomide | Brand | Tier 1 | $0.00 | Details |
| 6 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 7 | Dextrose and Sodium Chloride | Brand | Tier 1 | $0.00 | Details |
| 8 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 1 | $0.00 | Details |
| 9 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 1 | $0.00 | Details |
| 10 | Acarbose | Brand | Tier 1 | $0.00 | Details |
| 11 | Mekinist trametinib | Brand | Tier 1 | $0.00 | Details |
| 12 | Ibrance palbociclib | Brand | Tier 1 | $0.00 | Details |
| 13 | TABRECTA capmatinib | Brand | Tier 1 | $0.00 | Details |
| 14 | Cabergoline | Brand | Tier 1 | $0.00 | Details |
| 15 | RYDAPT | Brand | Tier 1 | $0.00 | Details |
| 16 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 17 | ISENTRESS RALTEGRAVIR | Brand | Tier 1 | $0.00 | Details |
| 18 | Estradiol | Brand | Tier 1 | $0.00 | Details |
| 19 | Nefazodone Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 20 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 968 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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