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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H1032-240 Cross-check on Medicare.gov →

Wellcare Dual Access Sync (HMO D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 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 PREVYMIS LETERMOVIR Brand Tier 5 0.3% coinsurance Details
2 Chlorpromazine Hydrochloride Brand Tier 4 $100.00 Details
3 Nefazodone Hydrochloride Brand Tier 4 $100.00 Details
4 Buspirone Hydrochloride Brand Tier 2 $19.00 Details
5 KOSELUGO SELUMETINIB Brand Tier 5 0.3% coinsurance Details
6 ENTRESTO Sacubitril and Valsartan Brand Tier 3 0.3% coinsurance Details
7 Tacrolimus Brand Tier 4 $100.00 Details
8 Metoprolol Tartrate metoprolol tartrate Brand Tier 1 $18.00 Details
9 Cromolyn Sodium Brand Tier 3 0.3% coinsurance Details
10 Daurismo glasdegib Brand Tier 5 0.3% coinsurance Details
11 Lenalidomide Brand Tier 5 0.3% coinsurance Details
12 Phenobarbital Brand Tier 2 $19.00 Details
13 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
14 Nystatin Brand Tier 2 $19.00 Details
15 TABRECTA capmatinib Brand Tier 5 0.3% coinsurance Details
16 Aptivus tipranavir Brand Tier 5 0.3% coinsurance Details
17 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $18.00 Details
18 Cefuroxime Brand Tier 4 $100.00 Details
19 JANUVIA sitagliptin Brand Tier 3 0.3% coinsurance Details
20 Dexamethasone Brand Tier 2 $19.00 Details

Showing 20 of 948 covered drugs.

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States Served (1)

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

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