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 | RETEVMO selpercatinib | Brand | Tier 1 | $0.00 | Details |
| 2 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 3 | Diazepam Intensol | Brand | Tier 1 | $0.00 | Details |
| 4 | Cefuroxime | Brand | Tier 1 | $0.00 | Details |
| 5 | Propranolol Hydrochloride propranolol hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 6 | INLYTA axitinib | Brand | Tier 1 | $0.00 | Details |
| 7 | ProQuad Measles, Mumps, Rubella and Varicella Virus Vaccine Live | Brand | Tier 1 | $0.00 | Details |
| 8 | PedvaxHIB Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) | Brand | Tier 1 | $0.00 | Details |
| 9 | Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate | Brand | Tier 1 | $0.00 | Details |
| 10 | Linzess linaclotide | Brand | Tier 1 | $0.00 | Details |
| 11 | Nefazodone Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 12 | TAGRISSO osimertinib | Brand | Tier 1 | $0.00 | Details |
| 13 | POSACONAZOLE Posaconazole | Brand | Tier 1 | $0.00 | Details |
| 14 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 1 | $0.00 | Details |
| 15 | Xalkori CRIZOTINIB | Brand | Tier 1 | $0.00 | Details |
| 16 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 17 | PENBRAYA meningococcal groups a, b, c, w, and y vaccine | Brand | Tier 1 | $0.00 | Details |
| 18 | INLYTA axitinib | Brand | Tier 1 | $0.00 | Details |
| 19 | Fiasp insulin aspart injection | Brand | Tier 1 | $0.00 | Details |
| 20 | ELIQUIS apixaban | 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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