Skip to main content
Verified against CMS.gov · on Apr 1, 2026 Plan ID: H2001-069 Cross-check on Medicare.gov →

UHC Dual Complete ME-S2 (PPO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
1,021 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 Leucovorin Calcium Brand Tier 4 $0.00 Details
2 TicoVac Tick-Borne Encephalitis Vaccine Brand Tier 3 $0.00 Details
3 Jardiance Empagliflozin Brand Tier 3 $0.00 Details
4 Fluphenazine Hydrochloride Brand Tier 3 $0.00 Details
5 Methylphenidate Hydrochloride Brand Tier 3 $0.00 Details
6 Haloperidol Brand Tier 2 $0.00 Details
7 Acarbose Brand Tier 1 $0.00 Details
8 Cefuroxime Brand Tier 4 $0.00 Details
9 Verzenio abemaciclib Brand Tier 5 $0.00 Details
10 Ibrance palbociclib Brand Tier 5 $0.00 Details
11 RotaTeq Rotavirus Vaccine, Live, Oral, Pentavalent Brand Tier 3 $0.00 Details
12 KOSELUGO SELUMETINIB Brand Tier 5 $0.00 Details
13 Warfarin Sodium Brand Tier 1 $0.00 Details
14 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
15 Amoxapine Brand Tier 3 $0.00 Details
16 NITROGLYCERIN nitroglycerin Brand Tier 4 $0.00 Details
17 Medroxyprogesterone Acetate Brand Tier 1 $0.00 Details
18 JAYPIRCA pirtobrutinib Brand Tier 5 $0.00 Details
19 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
20 Exemestane Brand Tier 4 $0.00 Details

Showing 20 of 1,021 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
Compare Plans →

States Served (1)

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

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.