PLATINO PLUS (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
878
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 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 2 | Cobenfy xanomeline and trospium chloride | Brand | Tier 1 | $0.00 | Details |
| 3 | Teflaro ceftaroline fosamil | Brand | Tier 1 | $0.00 | Details |
| 4 | Metoclopramide | Brand | Tier 1 | $0.00 | Details |
| 5 | Mekinist trametinib | Brand | Tier 1 | $0.00 | Details |
| 6 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 1 | $0.00 | Details |
| 7 | Rufinamide | Brand | Tier 1 | $0.00 | Details |
| 8 | Erlotinib | Brand | Tier 1 | $0.00 | Details |
| 9 | Fluphenazine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 10 | Tacrolimus | Brand | Tier 1 | $0.00 | Details |
| 11 | Prochlorperazine | Brand | Tier 1 | $0.00 | Details |
| 12 | Midodrine Hydrochloride midodrine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 13 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 14 | Daurismo glasdegib | Brand | Tier 1 | $0.00 | Details |
| 15 | TAGRISSO osimertinib | Brand | Tier 1 | $0.00 | Details |
| 16 | Xalkori CRIZOTINIB | Brand | Tier 1 | $0.00 | Details |
| 17 | Lenalidomide | Brand | Tier 1 | $0.00 | Details |
| 18 | Methotrexate | Brand | Tier 1 | $0.00 | Details |
| 19 | Neomycin Sulfate | Brand | Tier 1 | $0.00 | Details |
| 20 | Chlorpromazine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 878 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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