Wellcare Simple (HMO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00
Annual Deductible
929
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 | Baclofen | Brand | Tier 2 | $0.00 | Details |
| 2 | Priftin rifapentine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 3 | TAGRISSO osimertinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 6 | $0.00 | Details |
| 5 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 6 | Potassium Chloride | Brand | Tier 1 | $0.00 | Details |
| 7 | INLYTA axitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 8 | Loxapine | Brand | Tier 2 | $0.00 | Details |
| 9 | Nefazodone Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 10 | FENTANYL | Brand | Tier 4 | 0.3% coinsurance | Details |
| 11 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 6 | $0.00 | Details |
| 12 | PIQRAY alpelisib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Isoniazid | Brand | Tier 1 | $0.00 | Details |
| 14 | Heparin Sodium | Brand | Tier 2 | $0.00 | Details |
| 15 | CRESEMBA isavuconazonium sulfate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 16 | Dupixent Dupilumab | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | 0.3% coinsurance | Details |
| 18 | VALPROIC ACID | Brand | Tier 2 | $0.00 | Details |
| 19 | Mefloquine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 20 | Diazepam Intensol | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 929 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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