Georgia Health Advantage (HMO I-SNP)
$25.40 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
975
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 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
| 2 | Xalkori CRIZOTINIB | Brand | Tier 1 | $0.00 | Details |
| 3 | Ipratropium Bromide | Brand | Tier 1 | $0.00 | Details |
| 4 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 5 | Tacrolimus | Brand | Tier 1 | $0.00 | Details |
| 6 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 7 | JAYPIRCA pirtobrutinib | Brand | Tier 1 | $0.00 | Details |
| 8 | Mefloquine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 9 | TRETINOIN tretinoin | Brand | Tier 1 | $0.00 | Details |
| 10 | Dicloxacillin Sodium | Brand | Tier 1 | $0.00 | Details |
| 11 | ELIQUIS apixaban | Brand | Tier 1 | $0.00 | Details |
| 12 | Risperidone | Brand | Tier 1 | $0.00 | Details |
| 13 | ENTRESTO Sacubitril and Valsartan | Brand | Tier 1 | $0.00 | Details |
| 14 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 15 | Balsalazide Disodium | Brand | Tier 1 | $0.00 | Details |
| 16 | Daurismo glasdegib | Brand | Tier 1 | $0.00 | Details |
| 17 | Leucovorin Calcium | Brand | Tier 1 | $0.00 | Details |
| 18 | PIQRAY alpelisib | Brand | Tier 1 | $0.00 | Details |
| 19 | Estradiol | Brand | Tier 1 | $0.00 | Details |
| 20 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 975 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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