Wellcare Dual Liberty Open (PPO D-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$395.00
Annual Deductible
947
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 | Phenobarbital Oral Solution Phenobarbital Oral | Brand | Tier 4 | $100.00 | Details |
| 2 | Dexamethasone | Brand | Tier 2 | $19.00 | Details |
| 3 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 4 | $100.00 | Details |
| 4 | Methylphenidate Hydrochloride | Brand | Tier 2 | $19.00 | Details |
| 5 | PENBRAYA meningococcal groups a, b, c, w, and y vaccine | Brand | Tier 6 | $0.00 | Details |
| 6 | amiloride hydrochloride | Brand | Tier 2 | $19.00 | Details |
| 7 | Valsartan valsartan | Brand | Tier 6 | $0.00 | Details |
| 8 | WINREVAIR SOTATERCEPT-CSRK | Brand | Tier 5 | 0.3% coinsurance | Details |
| 9 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 6 | $0.00 | Details |
| 10 | Atomoxetine | Brand | Tier 4 | $100.00 | Details |
| 11 | Lorbrena lorlatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Isosorbide Dinitrate | Brand | Tier 2 | $19.00 | Details |
| 13 | PredniSONE | Brand | Tier 1 | $18.00 | Details |
| 14 | ZYKADIA ceritinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Fludrocortisone Acetate FLUDROCORTISONE ACETATE | Brand | Tier 2 | $19.00 | Details |
| 16 | Ofev nintedanib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Ciprofloxacin in Dextrose ciprofloxacin | Brand | Tier 4 | $100.00 | Details |
| 18 | ETHOSUXIMIDE | Brand | Tier 3 | 0.3% coinsurance | Details |
| 19 | Valsartan valsartan | Brand | Tier 6 | $0.00 | Details |
| 20 | Rufinamide | Brand | Tier 4 | $100.00 | Details |
Showing 20 of 947 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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