PriorityMedicare Dual Premier (HMO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
978
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 | KOSELUGO SELUMETINIB | Brand | Tier 5 | $0.00 | Details |
| 2 | Talzenna talazoparib | Brand | Tier 5 | $0.00 | Details |
| 3 | ZEJULA niraparib | Brand | Tier 5 | $0.00 | Details |
| 4 | Cromolyn Sodium | Brand | Tier 3 | $0.00 | Details |
| 5 | Fluphenazine Hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 6 | Probenecid | Brand | Tier 3 | $0.00 | Details |
| 7 | Imatinib Mesylate | Brand | Tier 3 | $0.00 | Details |
| 8 | CALQUENCE acalabrutinib | Brand | Tier 5 | $0.00 | Details |
| 9 | PODOFILOX | Brand | Tier 3 | $0.00 | Details |
| 10 | Loxapine | Brand | Tier 2 | $0.00 | Details |
| 11 | Venlafaxine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 12 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 13 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 14 | Amoxicillin and Clavulanate Potassium | Brand | Tier 2 | $0.00 | Details |
| 15 | VERQUVO vericiguat | Brand | Tier 4 | $0.00 | Details |
| 16 | Ampicillin | Brand | Tier 2 | $0.00 | Details |
| 17 | Fiasp insulin aspart injection | Brand | Tier 3 | $0.00 | Details |
| 18 | PIQRAY alpelisib | Brand | Tier 5 | $0.00 | Details |
| 19 | Potassium Chloride | Brand | Tier 2 | $0.00 | Details |
| 20 | Chlorhexidine Gluconate | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 978 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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