Texas Independence Community Plan (HMO I-SNP)
$4.80 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
985
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 | Erlotinib | Brand | Tier 1 | $0.00 | Details |
| 2 | Everolimus | Brand | Tier 1 | $0.00 | Details |
| 3 | Acamprosate Calcium acamprosate calcium enteric-coated | Brand | Tier 1 | $0.00 | Details |
| 4 | Omeprazole | Brand | Tier 1 | $0.00 | Details |
| 5 | Prograf Tacrolimus | Brand | Tier 1 | $0.00 | Details |
| 6 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 1 | $0.00 | Details |
| 7 | Vigabatrin | Brand | Tier 1 | $0.00 | Details |
| 8 | Tiagabine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 9 | TRETINOIN tretinoin | Brand | Tier 1 | $0.00 | Details |
| 10 | Verzenio abemaciclib | Brand | Tier 1 | $0.00 | Details |
| 11 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 1 | $0.00 | Details |
| 12 | ENTRESTO Sacubitril and Valsartan | Brand | Tier 1 | $0.00 | Details |
| 13 | Perphenazine perphenazine | Brand | Tier 1 | $0.00 | Details |
| 14 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
| 15 | Dexamethasone | Brand | Tier 1 | $0.00 | Details |
| 16 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
| 17 | Tiagabine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 18 | Chlorpromazine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 19 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 20 | KOSELUGO SELUMETINIB | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 985 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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