UHC Dual Complete WI-D001 (PPO D-SNP)
$9.00 /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 | Tacrolimus | Brand | Tier 3 | $0.00 | Details |
| 2 | Phenobarbital | Brand | Tier 2 | $0.00 | Details |
| 3 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 3 | $0.00 | Details |
| 4 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 5 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 6 | Kaletra Lopinavir and Ritonavir | Brand | Tier 4 | $0.00 | Details |
| 7 | WELIREG belzutifan | Brand | Tier 5 | $0.00 | Details |
| 8 | Mekinist trametinib | Brand | Tier 5 | $0.00 | Details |
| 9 | Medroxyprogesterone Acetate | Brand | Tier 1 | $0.00 | Details |
| 10 | Phenobarbital | Brand | Tier 2 | $0.00 | Details |
| 11 | PODOFILOX | Brand | Tier 3 | $0.00 | Details |
| 12 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 4 | $0.00 | Details |
| 13 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 3 | $0.00 | Details |
| 14 | Cefuroxime | Brand | Tier 4 | $0.00 | Details |
| 15 | JANUVIA sitagliptin | Brand | Tier 3 | $0.00 | Details |
| 16 | Dexamethasone | Brand | Tier 2 | $0.00 | Details |
| 17 | Heparin Sodium | Brand | Tier 3 | $0.00 | Details |
| 18 | BCG VACCINE BACILLUS CALMETTE-GUERIN SUBSTRAIN TICE LIVE ANTIGEN | Brand | Tier 3 | $0.00 | Details |
| 19 | Risperidone | Brand | Tier 5 | $0.00 | Details |
| 20 | PIQRAY alpelisib | Brand | Tier 5 | $0.00 | Details |
Showing 20 of 1,021 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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