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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H7524-001 Cross-check on Medicare.gov →

Univera Medicare Dual (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
1,110 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 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
2 Digoxin Brand Tier 2 $0.00 Details
3 Perphenazine perphenazine Brand Tier 3 $0.00 Details
4 Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate Brand Tier 5 $0.00 Details
5 Amoxicillin Brand Tier 2 $0.00 Details
6 Vizimpro dacomitinib Brand Tier 5 $0.00 Details
7 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 $0.00 Details
8 Dexamethasone Brand Tier 4 $0.00 Details
9 Venlafaxine Hydrochloride Brand Tier 3 $0.00 Details
10 Talzenna talazoparib Brand Tier 5 $0.00 Details
11 Dupixent Dupilumab Brand Tier 5 $0.00 Details
12 Dicyclomine Dicyclomine hydrochloride Brand Tier 2 $0.00 Details
13 Loxapine Brand Tier 2 $0.00 Details
14 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 $0.00 Details
15 Prednisone Brand Tier 2 $0.00 Details
16 Diltiazem Hydrochloride Brand Tier 2 $0.00 Details
17 KOSELUGO SELUMETINIB Brand Tier 5 $0.00 Details
18 ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban Brand Tier 3 $0.00 Details
19 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
20 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 $0.00 Details

Showing 20 of 1,110 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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States Served (1)

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

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