HealthSpring Achieve (HMO C-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$200.00
Annual Deductible
1,004
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 | Ampicillin | Brand | Tier 2 | $4.00 | Details |
| 2 | GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant | Brand | Tier 3 | $47.00 | Details |
| 3 | Diazepam | Brand | Tier 2 | $4.00 | Details |
| 4 | Lynparza olaparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 5 | Estradiol | Brand | Tier 1 | $0.00 | Details |
| 6 | INLYTA axitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 7 | Fiasp insulin aspart injection | Brand | Tier 3 | $47.00 | Details |
| 8 | Medroxyprogesterone Acetate | Brand | Tier 1 | $0.00 | Details |
| 9 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
| 10 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 11 | ELIQUIS apixaban | Brand | Tier 3 | $47.00 | Details |
| 12 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $47.00 | Details |
| 13 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | 0.5% coinsurance | Details |
| 14 | TRUQAP capivasertib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Risperidone | Brand | Tier 4 | 0.5% coinsurance | Details |
| 16 | Perphenazine perphenazine | Brand | Tier 4 | 0.5% coinsurance | Details |
| 17 | Pioglitazone | Brand | Tier 1 | $0.00 | Details |
| 18 | TRUQAP capivasertib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Haloperidol | Brand | Tier 1 | $0.00 | Details |
| 20 | Tacrolimus | Brand | Tier 2 | $4.00 | Details |
Showing 20 of 1,004 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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