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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H2172-018 Cross-check on Medicare.gov →

Kaiser Permanente Dual Essential Plan 1 MD (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$200.00 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 Amoxicillin and Clavulanate Potassium Brand Tier 2 0.0% coinsurance Details
2 Risperidone Brand Tier 4 0.3% coinsurance Details
3 ZEJULA niraparib Brand Tier 5 0.3% coinsurance Details
4 Pioglitazone Brand Tier 1 0.0% coinsurance Details
5 Acarbose Brand Tier 2 0.0% coinsurance Details
6 Nortriptyline Hydrochloride Brand Tier 2 0.0% coinsurance Details
7 Chlorpromazine Hydrochloride Brand Tier 2 0.0% coinsurance Details
8 VALPROIC ACID Brand Tier 2 0.0% coinsurance Details
9 GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant Brand Tier 6 $0.00 Details
10 Clotrimazole clotrimazole Brand Tier 2 0.0% coinsurance Details
11 TRETINOIN tretinoin Brand Tier 2 0.0% coinsurance Details
12 WINREVAIR SOTATERCEPT-CSRK Brand Tier 5 0.3% coinsurance Details
13 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 6 $0.00 Details
14 ZOLINZA vorinostat Brand Tier 5 0.3% coinsurance Details
15 Danazol Brand Tier 2 0.0% coinsurance Details
16 Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate Brand Tier 5 0.3% coinsurance Details
17 Carbidopa and levodopa Brand Tier 2 0.0% coinsurance Details
18 Linzess linaclotide Brand Tier 4 0.3% coinsurance Details
19 Gilotrif afatinib Brand Tier 5 0.3% coinsurance Details
20 JANUVIA sitagliptin Brand Tier 3 0.1% coinsurance 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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