Hamaspik Medicare Select (HMO D-SNP)
$34.50 /month
Monthly Premium
$615.00
Annual Deductible
1,388
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 | BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN | Brand | Tier 1 | $0.00 | Details |
| 2 | Cefuroxime | Brand | Tier 1 | $0.00 | Details |
| 3 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 1 | $0.00 | Details |
| 4 | Leucovorin Calcium | Brand | Tier 1 | $0.00 | Details |
| 5 | JANUVIA sitagliptin | Brand | Tier 1 | $0.00 | Details |
| 6 | TAGRISSO osimertinib | Brand | Tier 1 | $0.00 | Details |
| 7 | Risperidone | Brand | Tier 1 | $0.00 | Details |
| 8 | Everolimus | Brand | Tier 1 | $0.00 | Details |
| 9 | Vizimpro dacomitinib | Brand | Tier 1 | $0.00 | Details |
| 10 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 11 | LACTULOSE Lactulose | Brand | Tier 1 | $0.00 | Details |
| 12 | Aprepitant aprepitant | Brand | Tier 1 | $0.00 | Details |
| 13 | RETEVMO selpercatinib | Brand | Tier 1 | $0.00 | Details |
| 14 | Venlafaxine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 15 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 1 | $0.00 | Details |
| 16 | Venclexta Venetoclax | Brand | Tier 1 | $0.00 | Details |
| 17 | Linzess linaclotide | Brand | Tier 1 | $0.00 | Details |
| 18 | Rufinamide | Brand | Tier 1 | $0.00 | Details |
| 19 | Omeprazole | Brand | Tier 1 | $0.00 | Details |
| 20 | Nortriptyline Hydrochloride | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 1,388 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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