Elevate Medicare Choice (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
930
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 | Carbidopa and levodopa | Brand | Tier 1 | $0.00 | Details |
| 2 | Everolimus | Brand | Tier 1 | $0.00 | Details |
| 3 | Cefuroxime | Brand | Tier 1 | $0.00 | Details |
| 4 | Trumenba meningococcal group B vaccine | Brand | Tier 1 | $0.00 | Details |
| 5 | Lenalidomide | Brand | Tier 1 | $0.00 | Details |
| 6 | Bromocriptine mesylate | Brand | Tier 1 | $0.00 | Details |
| 7 | Loxapine | Brand | Tier 1 | $0.00 | Details |
| 8 | Dicloxacillin Sodium | Brand | Tier 1 | $0.00 | Details |
| 9 | KISQALI ribociclib | Brand | Tier 1 | $0.00 | Details |
| 10 | Isoniazid | Brand | Tier 1 | $0.00 | Details |
| 11 | Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 1 | $0.00 | Details |
| 12 | Xalkori CRIZOTINIB | Brand | Tier 1 | $0.00 | Details |
| 13 | CRESEMBA isavuconazonium sulfate | Brand | Tier 1 | $0.00 | Details |
| 14 | Estradiol | Brand | Tier 1 | $0.00 | Details |
| 15 | Fosamprenavir Calcium fosamprenavir calcium | Brand | Tier 1 | $0.00 | Details |
| 16 | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | Brand | Tier 1 | $0.00 | Details |
| 17 | Mekinist trametinib | Brand | Tier 1 | $0.00 | Details |
| 18 | Methylphenidate Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 19 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 20 | Diltiazem Hydrochloride | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 930 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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