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Verified against CMS.gov · on April 2026 Plan ID: H2775-112 Cross-check on Medicare.gov →

Wellcare Dual Access Open (PPO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$510.00 Annual Deductible
948 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 Amoxicillin Brand Tier 1 $18.00 Details
2 Tafinlar dabrafenib Brand Tier 5 0.3% coinsurance Details
3 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 3 0.2% coinsurance Details
4 Xalkori CRIZOTINIB Brand Tier 5 0.3% coinsurance Details
5 RETEVMO selpercatinib Brand Tier 5 0.3% coinsurance Details
6 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
7 Prochlorperazine Brand Tier 4 0.3% coinsurance Details
8 Exemestane Brand Tier 4 0.3% coinsurance Details
9 Enoxaparin Sodium Enoxaparin sodium Brand Tier 4 0.3% coinsurance Details
10 Loxapine Brand Tier 4 0.3% coinsurance Details
11 ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban Brand Tier 3 0.2% coinsurance Details
12 Ampicillin Brand Tier 2 $19.00 Details
13 Diazepam Brand Tier 4 0.3% coinsurance Details
14 Warfarin Sodium Brand Tier 1 $18.00 Details
15 Potassium Chloride potassium chloride Brand Tier 2 $19.00 Details
16 Augtyro repotrectinib Brand Tier 5 0.3% coinsurance Details
17 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
18 Amoxapine Brand Tier 4 0.3% coinsurance Details
19 ISENTRESS RALTEGRAVIR Brand Tier 3 0.2% coinsurance Details
20 Diltiazem Hydrochloride Brand Tier 2 $19.00 Details

Showing 20 of 948 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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