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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H5774-043 Cross-check on Medicare.gov →

PLATINO PLUS (HMO D-SNP)

Plan Year 2026
$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 Nefazodone Hydrochloride Brand Tier 1 $0.00 Details
2 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 1 $0.00 Details
3 TABRECTA capmatinib Brand Tier 1 $0.00 Details
4 COARTEM artemether and lumefantrine Brand Tier 1 $0.00 Details
5 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 1 $0.00 Details
6 Acamprosate Calcium acamprosate calcium enteric-coated Brand Tier 1 $0.00 Details
7 Heparin Sodium Brand Tier 1 $0.00 Details
8 PODOFILOX Brand Tier 1 $0.00 Details
9 Cobenfy xanomeline and trospium chloride Brand Tier 1 $0.00 Details
10 Fosamprenavir Calcium fosamprenavir calcium Brand Tier 1 $0.00 Details
11 Exemestane Brand Tier 1 $0.00 Details
12 Fluvoxamine maleate Brand Tier 1 $0.00 Details
13 BOSULIF Bosutinib Brand Tier 1 $0.00 Details
14 CRESEMBA isavuconazonium sulfate Brand Tier 1 $0.00 Details
15 ISENTRESS RALTEGRAVIR Brand Tier 1 $0.00 Details
16 Linzess linaclotide Brand Tier 1 $0.00 Details
17 Loxapine Brand Tier 1 $0.00 Details
18 Nefazodone Hydrochloride Brand Tier 1 $0.00 Details
19 Clonidine Hydrochloride Brand Tier 1 $0.00 Details
20 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 1 $0.00 Details

Showing 20 of 878 covered drugs.

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States Served (1)

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

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