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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H5991-013 Cross-check on Medicare.gov →

EmblemHealth VIP Dual Enhanced (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
928 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 Warfarin Sodium Brand Tier 1 $0.00 Details
2 Verzenio abemaciclib Brand Tier 5 $0.00 Details
3 PredniSONE Brand Tier 2 $0.00 Details
4 Haloperidol Brand Tier 2 $0.00 Details
5 VAQTA hepatitis A vaccine, inactivated Brand Tier 6 $0.00 Details
6 Estradiol Brand Tier 1 $0.00 Details
7 TESTOSTERONE ENANTHATE Brand Tier 3 $0.00 Details
8 Nefazodone Hydrochloride Brand Tier 4 $0.00 Details
9 Danazol Brand Tier 4 $0.00 Details
10 Rufinamide Brand Tier 4 $0.00 Details
11 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
12 NOVOLOG insulin aspart Brand Tier 3 $0.00 Details
13 Omeprazole Brand Tier 1 $0.00 Details
14 Lenalidomide Brand Tier 5 $0.00 Details
15 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
16 Haloperidol Brand Tier 3 $0.00 Details
17 KISQALI ribociclib Brand Tier 5 $0.00 Details
18 Xtandi enzalutamide Brand Tier 5 $0.00 Details
19 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 3 $0.00 Details
20 Leucovorin Calcium Brand Tier 3 $0.00 Details

Showing 20 of 928 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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