Skip to main content
Verified against CMS.gov · on April 2026 Plan ID: H4739-001 Cross-check on Medicare.gov →

First Choice VIP Care (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
1,071 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 Ibrance palbociclib Brand Tier 5 $0.00 Details
2 JANUVIA sitagliptin Brand Tier 3 $0.00 Details
3 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
4 Ibrance palbociclib Brand Tier 5 $0.00 Details
5 Isosorbide Dinitrate Brand Tier 1 $0.00 Details
6 Amoxicillin Brand Tier 1 $0.00 Details
7 Nitroglycerin nitroglycerin Brand Tier 2 $0.00 Details
8 Spiriva Respimat tiotropium bromide inhalation spray Brand Tier 3 $0.00 Details
9 Vizimpro dacomitinib Brand Tier 5 $0.00 Details
10 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 $0.00 Details
11 VAQTA hepatitis A vaccine, inactivated Brand Tier 6 $0.00 Details
12 Venclexta Venetoclax Brand Tier 5 $0.00 Details
13 Cefuroxime Brand Tier 2 $0.00 Details
14 Trelegy Ellipta fluticasone furoate, umeclidinium bromide and vilanterol trifenatate Brand Tier 3 $0.00 Details
15 Enoxaparin Sodium Enoxaparin sodium Brand Tier 2 $0.00 Details
16 Risperidone Brand Tier 2 $0.00 Details
17 Mekinist trametinib Brand Tier 5 $0.00 Details
18 Gilotrif afatinib Brand Tier 5 $0.00 Details
19 JANUVIA sitagliptin Brand Tier 3 $0.00 Details
20 Chlorpromazine Hydrochloride Brand Tier 2 $0.00 Details

Showing 20 of 1,071 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
Compare Plans →

States Served (1)

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

Find Your Best Medicare Plan for 2026

Compare plans side-by-side with the help of a licensed Medicare specialist. Free service — no obligation.

Compare Medicare Plans Free
  • ✓ Compare all plans in your area
  • ✓ Licensed agents available 7 days a week
  • ✓ No cost, no obligation

We may receive a referral fee if you enroll through this link. DrugCovered is not affiliated with Medicare or any government agency. Plan availability and costs vary by ZIP code. Not all plans may be available in your area.