UHC Dual Complete HI-S001 (PPO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
1,021
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 | Pioglitazone | Brand | Tier 1 | See Plan | Details |
| 2 | Methylphenidate Hydrochloride | Brand | Tier 3 | See Plan | Details |
| 3 | Haloperidol | Brand | Tier 2 | See Plan | Details |
| 4 | Mekinist trametinib | Brand | Tier 5 | See Plan | Details |
| 5 | Morphine Sulfate | Brand | Tier 3 | See Plan | Details |
| 6 | Venlafaxine Hydrochloride | Brand | Tier 3 | See Plan | Details |
| 7 | Gilotrif afatinib | Brand | Tier 5 | See Plan | Details |
| 8 | JANUVIA sitagliptin | Brand | Tier 3 | See Plan | Details |
| 9 | Leucovorin Calcium | Brand | Tier 4 | See Plan | Details |
| 10 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 3 | See Plan | Details |
| 11 | Jardiance Empagliflozin | Brand | Tier 3 | See Plan | Details |
| 12 | Fluphenazine Hydrochloride | Brand | Tier 3 | See Plan | Details |
| 13 | Methylphenidate Hydrochloride | Brand | Tier 3 | See Plan | Details |
| 14 | Haloperidol | Brand | Tier 2 | See Plan | Details |
| 15 | Acarbose | Brand | Tier 1 | See Plan | Details |
| 16 | Cefuroxime | Brand | Tier 4 | See Plan | Details |
| 17 | Verzenio abemaciclib | Brand | Tier 5 | See Plan | Details |
| 18 | Ibrance palbociclib | Brand | Tier 5 | See Plan | Details |
| 19 | RotaTeq Rotavirus Vaccine, Live, Oral, Pentavalent | Brand | Tier 3 | See Plan | Details |
| 20 | KOSELUGO SELUMETINIB | Brand | Tier 5 | See Plan | Details |
Showing 20 of 1,021 covered drugs.
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