HAP Medicare Connect (HMO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$150.00
Annual Deductible
965
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 3 | 0.2% coinsurance | Details |
| 2 | Sulfasalazine | Brand | Tier 2 | $9.00 | Details |
| 3 | BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN | Brand | Tier 3 | 0.2% coinsurance | Details |
| 4 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 2 | $9.00 | Details |
| 5 | TESTOSTERONE ENANTHATE | Brand | Tier 3 | 0.2% coinsurance | Details |
| 6 | Augtyro repotrectinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 7 | Risperidone | Brand | Tier 4 | 0.4% coinsurance | Details |
| 8 | Clozapine | Brand | Tier 2 | $9.00 | Details |
| 9 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 10 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 11 | Xalkori CRIZOTINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Prograf Tacrolimus | Brand | Tier 4 | 0.4% coinsurance | Details |
| 13 | Isoniazid | Brand | Tier 2 | $9.00 | Details |
| 14 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $9.00 | Details |
| 15 | Ciprofloxacin in Dextrose ciprofloxacin | Brand | Tier 4 | 0.4% coinsurance | Details |
| 16 | Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 4 | 0.4% coinsurance | Details |
| 17 | Loxapine | Brand | Tier 2 | $9.00 | Details |
| 18 | SCEMBLIX asciminib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Mekinist trametinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 965 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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