Leon MediDual (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
984
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 | REYATAZ ATAZANAVIR | Brand | Tier 4 | 0.3% coinsurance | Details |
| 2 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | 0.2% coinsurance | Details |
| 3 | Acamprosate Calcium acamprosate calcium enteric-coated | Brand | Tier 1 | 0.2% coinsurance | Details |
| 4 | NOVOLOG insulin aspart | Brand | Tier 2 | 0.2% coinsurance | Details |
| 5 | Diazepam | Brand | Tier 1 | 0.2% coinsurance | Details |
| 6 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 3 | 0.3% coinsurance | Details |
| 7 | Lenalidomide | Brand | Tier 4 | 0.3% coinsurance | Details |
| 8 | Amoxapine | Brand | Tier 1 | 0.2% coinsurance | Details |
| 9 | PIFELTRO doravirine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 10 | WELIREG belzutifan | Brand | Tier 4 | 0.3% coinsurance | Details |
| 11 | PIQRAY alpelisib | Brand | Tier 4 | 0.3% coinsurance | Details |
| 12 | Diltiazem Hydrochloride | Brand | Tier 1 | 0.2% coinsurance | Details |
| 13 | GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant | Brand | Tier 2 | 0.2% coinsurance | Details |
| 14 | Diazepam | Brand | Tier 1 | 0.2% coinsurance | Details |
| 15 | Doxepin Hydrochloride doxepin hydrochloride | Brand | Tier 1 | 0.2% coinsurance | Details |
| 16 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 1 | 0.2% coinsurance | Details |
| 17 | PredniSONE | Brand | Tier 1 | 0.2% coinsurance | Details |
| 18 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 1 | 0.2% coinsurance | Details |
| 19 | Cilostazol | Brand | Tier 1 | 0.2% coinsurance | Details |
| 20 | Loxapine | Brand | Tier 1 | 0.2% coinsurance | Details |
Showing 20 of 984 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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