Select Health Medicare + Kroger (HMO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00
Annual Deductible
1,077
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 | Carbidopa and levodopa | Brand | Tier 2 | $5.00 | Details |
| 3 | Lorbrena lorlatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | RotaTeq Rotavirus Vaccine, Live, Oral, Pentavalent | Brand | Tier 3 | $40.00 | Details |
| 5 | Jardiance Empagliflozin | Brand | Tier 3 | $40.00 | Details |
| 6 | Chlorpromazine Hydrochloride | Brand | Tier 2 | $5.00 | Details |
| 7 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $5.00 | Details |
| 8 | Amoxicillin | Brand | Tier 2 | $5.00 | Details |
| 9 | RETEVMO selpercatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Dupixent Dupilumab | Brand | Tier 5 | 0.3% coinsurance | Details |
| 11 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 12 | FENTANYL | Brand | Tier 3 | $40.00 | Details |
| 13 | TAGRISSO osimertinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Baclofen baclofen | Brand | Tier 2 | $5.00 | Details |
| 15 | Clozapine | Brand | Tier 3 | $40.00 | Details |
| 16 | Budesonide | Brand | Tier 3 | $40.00 | Details |
| 17 | Chlorpromazine Hydrochloride | Brand | Tier 2 | $5.00 | Details |
| 18 | INLYTA axitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 20 | Diltiazem Hydrochloride | Brand | Tier 2 | $5.00 | Details |
Showing 20 of 1,077 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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