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Verified against CMS.gov · on July 2026 Plan ID: H8894-001 Cross-check on Medicare.gov →

IEHP DualChoice (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
925 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 Amoxapine Brand Tier 2 $0.00 Details
2 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
3 Estradiol Brand Tier 1 $0.00 Details
4 Fiasp insulin aspart injection Brand Tier 3 $0.00 Details
5 WELIREG belzutifan Brand Tier 5 $0.00 Details
6 Cefuroxime Brand Tier 2 $0.00 Details
7 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
8 JANUVIA sitagliptin Brand Tier 6 $0.00 Details
9 Daurismo glasdegib Brand Tier 5 $0.00 Details
10 Linzess linaclotide Brand Tier 3 $0.00 Details
11 Fluphenazine Hydrochloride Brand Tier 4 $0.00 Details
12 Haloperidol Brand Tier 2 $0.00 Details
13 JANUVIA sitagliptin Brand Tier 6 $0.00 Details
14 KISQALI ribociclib Brand Tier 5 $0.00 Details
15 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 $0.00 Details
16 Nystatin Brand Tier 2 $0.00 Details
17 Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate Brand Tier 2 $0.00 Details
18 Verzenio abemaciclib Brand Tier 5 $0.00 Details
19 FENTANYL Brand Tier 2 $0.00 Details
20 Atomoxetine Brand Tier 2 $0.00 Details

Showing 20 of 925 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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