Skip to main content
Verified against CMS.gov · on April 2026 Plan ID: H3204-001 Cross-check on Medicare.gov →

Presbyterian Senior Care Plan 2 with Rx (HMO)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
938 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 Ampicillin and Sulbactam Brand Tier 2 $0.00 Details
2 Acarbose Brand Tier 2 $0.00 Details
3 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 $0.00 Details
4 Carbidopa and levodopa Brand Tier 1 $0.00 Details
5 Everolimus Brand Tier 5 $0.00 Details
6 Norvir Ritonavir Brand Tier 4 $0.00 Details
7 Gilotrif afatinib Brand Tier 5 $0.00 Details
8 VAQTA hepatitis A vaccine, inactivated Brand Tier 3 $0.00 Details
9 ZEJULA niraparib Brand Tier 5 $0.00 Details
10 Sodium Chloride Brand Tier 2 $0.00 Details
11 Dicyclomine Dicyclomine hydrochloride Brand Tier 2 $0.00 Details
12 Warfarin Sodium Brand Tier 1 $0.00 Details
13 Amoxicillin Brand Tier 2 $0.00 Details
14 COARTEM artemether and lumefantrine Brand Tier 4 $0.00 Details
15 PedvaxHIB Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) Brand Tier 3 $0.00 Details
16 Verzenio abemaciclib Brand Tier 5 $0.00 Details
17 Phenobarbital Brand Tier 2 $0.00 Details
18 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 $0.00 Details
19 PREVYMIS LETERMOVIR Brand Tier 5 $0.00 Details
20 Lenalidomide Brand Tier 5 $0.00 Details

Showing 20 of 938 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
Compare Plans →

States Served (1)

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

Find Your Best Medicare Plan for 2026

Compare plans side-by-side with the help of a licensed Medicare specialist. Free service — no obligation.

Compare Medicare Plans Free
  • ✓ Compare all plans in your area
  • ✓ Licensed agents available 7 days a week
  • ✓ No cost, no obligation

We may receive a referral fee if you enroll through this link. DrugCovered is not affiliated with Medicare or any government agency. Plan availability and costs vary by ZIP code. Not all plans may be available in your area.