Senior Care (HMO I-SNP)
$12.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
975
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 | Augtyro repotrectinib | Brand | Tier 1 | $0.00 | Details |
| 2 | Bupropion Hydrochloride SR SR bupropion hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 3 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
| 4 | Venlafaxine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 5 | Cabergoline | Brand | Tier 1 | $0.00 | Details |
| 6 | Nefazodone Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 7 | Fluvoxamine maleate | Brand | Tier 1 | $0.00 | Details |
| 8 | Ibrance palbociclib | Brand | Tier 1 | $0.00 | Details |
| 9 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 1 | $0.00 | Details |
| 10 | Depo-SubQ Provera medroxyprogesterone acetate | Brand | Tier 1 | $0.00 | Details |
| 11 | Haloperidol | Brand | Tier 1 | $0.00 | Details |
| 12 | Estradiol | Brand | Tier 1 | $0.00 | Details |
| 13 | Fluphenazine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 14 | Nitroglycerin nitroglycerin | Brand | Tier 1 | $0.00 | Details |
| 15 | SCEMBLIX asciminib | Brand | Tier 1 | $0.00 | Details |
| 16 | Mekinist trametinib | Brand | Tier 1 | $0.00 | Details |
| 17 | Rufinamide | Brand | Tier 1 | $0.00 | Details |
| 18 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 1 | $0.00 | Details |
| 19 | Pilocarpine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 20 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 975 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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