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Verified against CMS.gov · on April 2026 Plan ID: H2174-001 Cross-check on Medicare.gov →

Wellcare Dual Select Sync (HMO-POS D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$350.00 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 JANUVIA sitagliptin Brand Tier 3 0.3% coinsurance Details
2 Dexamethasone Brand Tier 2 $19.00 Details
3 LACTULOSE Lactulose Brand Tier 4 $100.00 Details
4 Heparin Sodium Brand Tier 3 0.3% coinsurance Details
5 Dexamethasone Brand Tier 2 $19.00 Details
6 Dupixent Dupilumab Brand Tier 5 0.3% coinsurance Details
7 Haloperidol Brand Tier 2 $19.00 Details
8 amiloride hydrochloride Brand Tier 2 $19.00 Details
9 Amoxicillin and Clavulanate Potassium Brand Tier 2 $19.00 Details
10 ELIQUIS apixaban Brand Tier 3 0.3% coinsurance Details
11 Propranolol Hydrochloride propranolol hydrochloride Brand Tier 2 $19.00 Details
12 HYDROCODONE BITARTRATE AND ACETAMINOPHEN Brand Tier 4 $100.00 Details
13 Acarbose Brand Tier 6 $0.00 Details
14 Fludrocortisone Acetate FLUDROCORTISONE ACETATE Brand Tier 2 $19.00 Details
15 Ciprofloxacin in Dextrose ciprofloxacin Brand Tier 4 $100.00 Details
16 Clonidine Hydrochloride Brand Tier 1 $18.00 Details
17 TRETINOIN tretinoin Brand Tier 4 $100.00 Details
18 Nitroglycerin nitroglycerin Brand Tier 2 $19.00 Details
19 Chlorhexidine Gluconate Brand Tier 1 $18.00 Details
20 Lupron Depot leuprolide acetate Brand Tier 5 0.3% coinsurance 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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