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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H4004-072 Cross-check on Medicare.gov →

MMM Relax Platino (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
1,036 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 6 $0.00 Details
2 LACTULOSE Lactulose Brand Tier 2 $0.00 Details
3 Gentamicin Sulfate Brand Tier 2 $0.00 Details
4 Cobenfy xanomeline and trospium chloride Brand Tier 6 $0.00 Details
5 Dextrose and Sodium Chloride Brand Tier 2 $0.00 Details
6 Mefloquine Hydrochloride Brand Tier 2 $0.00 Details
7 Clonidine Hydrochloride Brand Tier 2 $0.00 Details
8 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 $0.00 Details
9 Chlorhexidine Gluconate Brand Tier 2 $0.00 Details
10 Verzenio abemaciclib Brand Tier 5 $0.00 Details
11 FENTANYL Brand Tier 2 $0.00 Details
12 Fluphenazine Hydrochloride Brand Tier 2 $0.00 Details
13 Tafinlar dabrafenib Brand Tier 6 $0.00 Details
14 KOSELUGO SELUMETINIB Brand Tier 6 $0.00 Details
15 PredniSONE Brand Tier 2 $0.00 Details
16 Tiagabine Hydrochloride Brand Tier 2 $0.00 Details
17 Talzenna talazoparib Brand Tier 6 $0.00 Details
18 Fluphenazine Hydrochloride Brand Tier 2 $0.00 Details
19 KISQALI ribociclib Brand Tier 6 $0.00 Details
20 VAQTA hepatitis A vaccine, inactivated Brand Tier 3 $0.00 Details

Showing 20 of 1,036 covered drugs.

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States Served (1)

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

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