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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H8794-010 Cross-check on Medicare.gov →

Kaiser Permanente Dual Complete South P10 (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
917 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 Chlorpromazine Hydrochloride Brand Tier 2 $0.00 Details
2 VALPROIC ACID Brand Tier 2 $0.00 Details
3 GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant Brand Tier 6 $0.00 Details
4 Clotrimazole clotrimazole Brand Tier 2 $0.00 Details
5 TRETINOIN tretinoin Brand Tier 2 $0.00 Details
6 WINREVAIR SOTATERCEPT-CSRK Brand Tier 5 $0.00 Details
7 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 6 $0.00 Details
8 ZOLINZA vorinostat Brand Tier 5 $0.00 Details
9 Danazol Brand Tier 2 $0.00 Details
10 Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate Brand Tier 5 $0.00 Details
11 Carbidopa and levodopa Brand Tier 2 $0.00 Details
12 Linzess linaclotide Brand Tier 4 $0.00 Details
13 Gilotrif afatinib Brand Tier 5 $0.00 Details
14 JANUVIA sitagliptin Brand Tier 3 $0.00 Details
15 Loxapine Brand Tier 2 $0.00 Details
16 Metoclopramide Brand Tier 1 $0.00 Details
17 KISQALI ribociclib Brand Tier 5 $0.00 Details
18 Ciprofloxacin in Dextrose ciprofloxacin Brand Tier 2 $0.00 Details
19 Diltiazem Hydrochloride Brand Tier 2 $0.00 Details
20 Rufinamide Brand Tier 5 $0.00 Details

Showing 20 of 917 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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