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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H4513-060 Cross-check on Medicare.gov →

HealthSpring TotalCare (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 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 Prograf Tacrolimus Brand Tier 4 0.3% coinsurance Details
2 Pioglitazone Brand Tier 1 $0.00 Details
3 Tiagabine Hydrochloride Brand Tier 4 0.3% coinsurance Details
4 Nystatin Brand Tier 3 0.2% coinsurance Details
5 TABRECTA capmatinib Brand Tier 5 0.3% coinsurance Details
6 TABRECTA capmatinib Brand Tier 5 0.3% coinsurance Details
7 Diazepam Brand Tier 2 $0.00 Details
8 MERCAPTOPURINE Brand Tier 5 0.3% coinsurance Details
9 Diltiazem Hydrochloride Brand Tier 2 $0.00 Details
10 Clozapine Brand Tier 4 0.3% coinsurance Details
11 Lenalidomide Brand Tier 5 0.3% coinsurance Details
12 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 $0.00 Details
13 PENBRAYA meningococcal groups a, b, c, w, and y vaccine Brand Tier 3 0.2% coinsurance Details
14 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
15 Ceftriaxone Sodium Brand Tier 4 0.3% coinsurance Details
16 Tacrolimus Brand Tier 2 $0.00 Details
17 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
18 PedvaxHIB Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) Brand Tier 3 0.2% coinsurance Details
19 Levothyroxine Sodium levothyroxine sodium Brand Tier 3 0.2% coinsurance Details
20 Linzess linaclotide Brand Tier 4 0.3% coinsurance Details

Showing 20 of 1,004 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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