Gold Dialysis & Kidney Complete (HMO-POS C-SNP)
$17.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
1,045
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 | PREVYMIS LETERMOVIR | Brand | Tier 1 | $0.00 | Details |
| 2 | Methylphenidate Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 3 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 4 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 5 | Cobenfy xanomeline and trospium chloride | Brand | Tier 1 | $0.00 | Details |
| 6 | TAGRISSO osimertinib | Brand | Tier 1 | $0.00 | Details |
| 7 | Gilotrif afatinib | Brand | Tier 1 | $0.00 | Details |
| 8 | GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant | Brand | Tier 1 | $0.00 | Details |
| 9 | Potassium Chloride | Brand | Tier 1 | $0.00 | Details |
| 10 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 1 | $0.00 | Details |
| 11 | Dextrose and Sodium Chloride | Brand | Tier 1 | $0.00 | Details |
| 12 | Xospata gilteritinib | Brand | Tier 1 | $0.00 | Details |
| 13 | Ofev nintedanib | Brand | Tier 1 | $0.00 | Details |
| 14 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 15 | Mekinist trametinib | Brand | Tier 1 | $0.00 | Details |
| 16 | Chlorhexidine Gluconate | Brand | Tier 1 | $0.00 | Details |
| 17 | Abrysvo Respiratory Syncytial Virus Vaccine | Brand | Tier 1 | $0.00 | Details |
| 18 | Baclofen | Brand | Tier 1 | $0.00 | Details |
| 19 | Verzenio abemaciclib | Brand | Tier 1 | $0.00 | Details |
| 20 | Baclofen baclofen | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 1,045 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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