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Verified against CMS.gov · on Oct 1, 2026 Plan ID: H2478-001 Cross-check on Medicare.gov →

Molina Medicare Complete Care (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$575.00 Annual Deductible
994 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 4 $0.00 Details
2 TicoVac Tick-Borne Encephalitis Vaccine Brand Tier 1 $0.00 Details
3 Cefuroxime Brand Tier 3 $0.00 Details
4 Amoxapine Brand Tier 3 $0.00 Details
5 Isosorbide Dinitrate Brand Tier 3 $0.00 Details
6 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 $0.00 Details
7 Ibrance palbociclib Brand Tier 5 $0.00 Details
8 Xtandi enzalutamide Brand Tier 5 $0.00 Details
9 Warfarin Sodium Brand Tier 1 $0.00 Details
10 Dextrose and Sodium Chloride Brand Tier 3 $0.00 Details
11 Ofev nintedanib Brand Tier 5 $0.00 Details
12 Prochlorperazine Brand Tier 4 $0.00 Details
13 Clonidine Hydrochloride Brand Tier 1 $0.00 Details
14 TRETINOIN tretinoin Brand Tier 4 $0.00 Details
15 Chlorhexidine Gluconate Brand Tier 1 $0.00 Details
16 ELIQUIS apixaban Brand Tier 3 $0.00 Details
17 FENTANYL Brand Tier 4 $0.00 Details
18 COARTEM artemether and lumefantrine Brand Tier 4 $0.00 Details
19 Pioglitazone Brand Tier 6 $0.00 Details
20 Lorbrena lorlatinib Brand Tier 5 $0.00 Details

Showing 20 of 994 covered drugs.

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States Served (1)

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

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