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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H4499-001 Cross-check on Medicare.gov →

Sentara Community Complete (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
987 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 Rufinamide Brand Tier 1 $0.00 Details
2 Acamprosate Calcium acamprosate calcium enteric-coated Brand Tier 1 $0.00 Details
3 Fluvoxamine maleate Brand Tier 1 $0.00 Details
4 Ampicillin Brand Tier 1 $0.00 Details
5 Diazepam Brand Tier 1 $0.00 Details
6 PredniSONE Brand Tier 1 $0.00 Details
7 SCEMBLIX asciminib Brand Tier 1 $0.00 Details
8 Ofev nintedanib Brand Tier 1 $0.00 Details
9 amiloride hydrochloride Brand Tier 1 $0.00 Details
10 Augtyro repotrectinib Brand Tier 1 $0.00 Details
11 Ofev nintedanib Brand Tier 1 $0.00 Details
12 RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) Brand Tier 1 $0.00 Details
13 KISQALI ribociclib Brand Tier 1 $0.00 Details
14 Nortriptyline Hydrochloride Brand Tier 1 $0.00 Details
15 Verzenio abemaciclib Brand Tier 1 $0.00 Details
16 Haloperidol Brand Tier 1 $0.00 Details
17 Estradiol Brand Tier 1 $0.00 Details
18 Ciprofloxacin in Dextrose ciprofloxacin Brand Tier 1 $0.00 Details
19 Medroxyprogesterone Acetate Brand Tier 1 $0.00 Details
20 Diltiazem Hydrochloride Brand Tier 1 $0.00 Details

Showing 20 of 987 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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States Served (1)

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

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