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Verified against CMS.gov · on April 2026 Plan ID: S5601-026 Cross-check on Medicare.gov →

SilverScript Choice (PDP)

Plan Year 2026
$78.30 /month
Monthly Premium
$615.00 Annual Deductible
941 Drugs Covered
0 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 Vizimpro dacomitinib Brand Tier 5 $0.00 Details
2 Trumenba meningococcal group B vaccine Brand Tier 1 $0.00 Details
3 Lenalidomide Brand Tier 5 $0.00 Details
4 Haloperidol Brand Tier 3 $0.00 Details
5 Dicyclomine Dicyclomine hydrochloride Brand Tier 2 $0.00 Details
6 INLYTA axitinib Brand Tier 5 $0.00 Details
7 Fluphenazine Hydrochloride Brand Tier 2 $0.00 Details
8 Warfarin Sodium Brand Tier 1 $0.00 Details
9 Isosorbide Dinitrate Brand Tier 3 $0.00 Details
10 VAQTA hepatitis A vaccine, inactivated Brand Tier 1 $0.00 Details
11 Phenobarbital Brand Tier 4 $0.00 Details
12 Dexamethasone Brand Tier 4 $0.00 Details
13 Fluphenazine Hydrochloride Brand Tier 2 $0.00 Details
14 RETEVMO selpercatinib Brand Tier 5 $0.00 Details
15 VALPROIC ACID Brand Tier 2 $0.00 Details
16 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 $0.00 Details
17 Diazepam Intensol Brand Tier 3 $0.00 Details
18 Augtyro repotrectinib Brand Tier 5 $0.00 Details
19 Verzenio abemaciclib Brand Tier 5 $0.00 Details
20 Fiasp insulin aspart injection Brand Tier 3 $0.00 Details

Showing 20 of 941 covered drugs.

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