Wellcare Dual Select (HMO-POS D-SNP)
$32.70 /month
Monthly Premium
$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 | Venlafaxine Hydrochloride | Brand | Tier 2 | $19.00 | Details |
| 2 | Everolimus | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | Gilotrif afatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $100.00 | Details |
| 5 | Loxapine | Brand | Tier 4 | $100.00 | Details |
| 6 | Valsartan valsartan | Brand | Tier 6 | $0.00 | Details |
| 7 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $100.00 | Details |
| 8 | Warfarin Sodium | Brand | Tier 1 | $18.00 | Details |
| 9 | Aprepitant aprepitant | Brand | Tier 4 | $100.00 | Details |
| 10 | FENTANYL | Brand | Tier 4 | $100.00 | Details |
| 11 | COARTEM artemether and lumefantrine | Brand | Tier 4 | $100.00 | Details |
| 12 | Lorbrena lorlatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Cefuroxime | Brand | Tier 4 | $100.00 | Details |
| 14 | Probenecid | Brand | Tier 4 | $100.00 | Details |
| 15 | Amoxicillin | Brand | Tier 1 | $18.00 | Details |
| 16 | Tafinlar dabrafenib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 3 | 0.3% coinsurance | Details |
| 18 | Xalkori CRIZOTINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 19 | RETEVMO selpercatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | SCEMBLIX asciminib | Brand | Tier 5 | 0.3% coinsurance | Details |
Showing 20 of 948 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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