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 | Verzenio abemaciclib | Brand | Tier 5 | See Plan | Details |
| 2 | Diltiazem Hydrochloride | Brand | Tier 2 | See Plan | Details |
| 3 | ISENTRESS RALTEGRAVIR | Brand | Tier 3 | See Plan | Details |
| 4 | Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate | Brand | Tier 5 | See Plan | Details |
| 5 | Doxepin Hydrochloride doxepin hydrochloride | Brand | Tier 4 | See Plan | Details |
| 6 | Tacrolimus | Brand | Tier 3 | See Plan | Details |
| 7 | Phenobarbital | Brand | Tier 2 | See Plan | Details |
| 8 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 3 | See Plan | Details |
| 9 | RETEVMO selpercatinib | Brand | Tier 5 | See Plan | Details |
| 10 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | See Plan | Details |
| 11 | Kaletra Lopinavir and Ritonavir | Brand | Tier 4 | See Plan | Details |
| 12 | WELIREG belzutifan | Brand | Tier 5 | See Plan | Details |
| 13 | Mekinist trametinib | Brand | Tier 5 | See Plan | Details |
| 14 | Medroxyprogesterone Acetate | Brand | Tier 1 | See Plan | Details |
| 15 | Phenobarbital | Brand | Tier 2 | See Plan | Details |
| 16 | PODOFILOX | Brand | Tier 3 | See Plan | Details |
| 17 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | See Plan | Details |
| 18 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 3 | See Plan | Details |
| 19 | Cefuroxime | Brand | Tier 4 | See Plan | Details |
| 20 | JANUVIA sitagliptin | Brand | Tier 3 | See Plan | Details |
Showing 20 of 1,021 covered drugs.
Find Your Best Medicare Plan for 2026
Compare plans side-by-side with the help of a licensed Medicare specialist. Free service — no obligation.
Compare Medicare Plans Free- ✓ Compare all plans in your area
- ✓ Licensed agents available 7 days a week
- ✓ No cost, no obligation
We may receive a referral fee if you enroll through this link. DrugCovered is not affiliated with Medicare or any government agency. Plan availability and costs vary by ZIP code. Not all plans may be available in your area.