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Verified against CMS.gov · on Oct 1, 2026 Plan ID: H1170-016 Cross-check on Medicare.gov →

Kaiser Permanente Senior Advantage Standard (HMO)

Plan Year 2026
$21.20 /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 ISENTRESS RALTEGRAVIR Brand Tier 5 $0.00 Details
2 Scopolamine scopolamine Brand Tier 4 $0.00 Details
3 Amoxicillin Brand Tier 2 $0.00 Details
4 Estradiol Brand Tier 1 $0.00 Details
5 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 $0.00 Details
6 Medroxyprogesterone Acetate Brand Tier 2 $0.00 Details
7 Augtyro repotrectinib Brand Tier 5 $0.00 Details
8 Risperidone Brand Tier 4 $0.00 Details
9 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
10 Enoxaparin Sodium Enoxaparin sodium Brand Tier 2 $0.00 Details
11 Rufinamide Brand Tier 4 $0.00 Details
12 Emtricitabine and Tenofovir Disoproxil Fumarate Brand Tier 2 $0.00 Details
13 Prograf Tacrolimus Brand Tier 4 $0.00 Details
14 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
15 Buspirone Hydrochloride Brand Tier 1 $0.00 Details
16 Xtandi enzalutamide Brand Tier 5 $0.00 Details
17 Tafinlar dabrafenib Brand Tier 5 $0.00 Details
18 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 2 $0.00 Details
19 Mekinist trametinib Brand Tier 5 $0.00 Details
20 GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant Brand Tier 6 $0.00 Details

Showing 20 of 917 covered drugs.

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States Served (1)

This plan is available to Medicare beneficiaries in the following states.

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