VIVA Medicare Extra Value (HMO D-SNP)
$27.70 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
978
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 | WINREVAIR SOTATERCEPT-CSRK | Brand | Tier 1 | $0.00 | Details |
| 2 | Bupropion Hydrochloride SR SR bupropion hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 3 | Mekinist trametinib | Brand | Tier 1 | $0.00 | Details |
| 4 | Lynparza olaparib | Brand | Tier 1 | $0.00 | Details |
| 5 | Balsalazide Disodium | Brand | Tier 1 | $0.00 | Details |
| 6 | BOSULIF Bosutinib | Brand | Tier 1 | $0.00 | Details |
| 7 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 8 | Nitroglycerin nitroglycerin | Brand | Tier 1 | $0.00 | Details |
| 9 | Depo-SubQ Provera medroxyprogesterone acetate | Brand | Tier 1 | $0.00 | Details |
| 10 | VALPROIC ACID | Brand | Tier 1 | $0.00 | Details |
| 11 | Cilostazol | Brand | Tier 1 | $0.00 | Details |
| 12 | Medroxyprogesterone Acetate | Brand | Tier 1 | $0.00 | Details |
| 13 | Nefazodone Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 14 | Talzenna talazoparib | Brand | Tier 1 | $0.00 | Details |
| 15 | SOMAVERT pegvisomant | Brand | Tier 1 | $0.00 | Details |
| 16 | Primaquine Phosphate | Brand | Tier 1 | $0.00 | Details |
| 17 | Risperidone | Brand | Tier 1 | $0.00 | Details |
| 18 | Pyridostigmine Bromide PYRIDOSTIGMINE BROMIDE | Brand | Tier 1 | $0.00 | Details |
| 19 | Clozapine | Brand | Tier 1 | $0.00 | Details |
| 20 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 1 | $0.00 | Details |
Showing 20 of 978 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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