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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H5262-029 Cross-check on Medicare.gov →

Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP)

Plan Year 2026
$21.10 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
990 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 Dicloxacillin Sodium Brand Tier 2 $0.00 Details
2 Mekinist trametinib Brand Tier 5 $0.00 Details
3 Paxlovid nirmatrelvir and ritonavir Brand Tier 3 $0.00 Details
4 ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban Brand Tier 3 $0.00 Details
5 Clozapine Brand Tier 4 $0.00 Details
6 VAQTA hepatitis A vaccine, inactivated Brand Tier 1 $0.00 Details
7 Venclexta Venetoclax Brand Tier 5 $0.00 Details
8 Nystatin Brand Tier 2 $0.00 Details
9 Ibrance palbociclib Brand Tier 5 $0.00 Details
10 VAQTA hepatitis A vaccine, inactivated Brand Tier 3 $0.00 Details
11 Dupixent Dupilumab Brand Tier 5 $0.00 Details
12 Gilotrif afatinib Brand Tier 5 $0.00 Details
13 Pilocarpine Hydrochloride Brand Tier 4 $0.00 Details
14 Cobenfy xanomeline and trospium chloride Brand Tier 5 $0.00 Details
15 Warfarin Sodium Brand Tier 1 $0.00 Details
16 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 $0.00 Details
17 Talzenna talazoparib Brand Tier 5 $0.00 Details
18 Nitroglycerin nitroglycerin Brand Tier 2 $0.00 Details
19 TicoVac Tick-Borne Encephalitis Vaccine Brand Tier 1 $0.00 Details
20 Aptivus tipranavir Brand Tier 5 $0.00 Details

Showing 20 of 990 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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