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Verified against CMS.gov · on April 2026 Plan ID: H5425-086 Cross-check on Medicare.gov →

SCAN Embrace (HMO I-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00 Annual Deductible
1,056 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 Xtandi enzalutamide Brand Tier 5 0.3% coinsurance Details
2 Haloperidol Brand Tier 2 $0.00 Details
3 Lenalidomide Brand Tier 5 0.3% coinsurance Details
4 KISQALI ribociclib Brand Tier 5 0.3% coinsurance Details
5 Nitroglycerin nitroglycerin Brand Tier 2 $0.00 Details
6 Ceftriaxone Sodium Brand Tier 2 $0.00 Details
7 Isoniazid Brand Tier 2 $0.00 Details
8 Prednisone Brand Tier 1 $0.00 Details
9 Emtricitabine and Tenofovir Disoproxil Fumarate Brand Tier 4 0.4% coinsurance Details
10 Daurismo glasdegib Brand Tier 5 0.3% coinsurance Details
11 Dexamethasone Brand Tier 2 $0.00 Details
12 Warfarin Sodium Brand Tier 1 $0.00 Details
13 JANUVIA sitagliptin Brand Tier 3 $42.00 Details
14 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 2 $0.00 Details
15 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
16 PENBRAYA meningococcal groups a, b, c, w, and y vaccine Brand Tier 3 $42.00 Details
17 ETHOSUXIMIDE Brand Tier 2 $0.00 Details
18 Clonidine Hydrochloride Brand Tier 1 $0.00 Details
19 Fluphenazine Hydrochloride Brand Tier 4 0.4% coinsurance Details
20 Clozapine Brand Tier 4 0.4% coinsurance Details

Showing 20 of 1,056 covered drugs.

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States Served (1)

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

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