Wellpoint Chronic Care 2 (HMO-POS C-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$0.00
Annual Deductible
959
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 | PENBRAYA meningococcal groups a, b, c, w, and y vaccine | Brand | Tier 6 | $0.00 | Details |
| 2 | Mefloquine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 3 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 6 | $0.00 | Details |
| 4 | EVOTAZ atazanavir and cobicistat | Brand | Tier 5 | 0.3% coinsurance | Details |
| 5 | Amoxicillin and Clavulanate Potassium | Brand | Tier 2 | $0.00 | Details |
| 6 | Propranolol Hydrochloride propranolol hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 7 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 6 | $0.00 | Details |
| 8 | Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 3 | 0.2% coinsurance | Details |
| 9 | Nefazodone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 10 | Fiasp insulin aspart injection | Brand | Tier 3 | 0.2% coinsurance | Details |
| 11 | Risperidone | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | Neomycin Sulfate | Brand | Tier 2 | $0.00 | Details |
| 13 | Venclexta Venetoclax | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Nitroglycerin nitroglycerin | Brand | Tier 2 | $0.00 | Details |
| 15 | RYDAPT | Brand | Tier 5 | 0.3% coinsurance | Details |
| 16 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 18 | Estradiol | Brand | Tier 2 | $0.00 | Details |
| 19 | Sodium Chloride | Brand | Tier 2 | $0.00 | Details |
| 20 | Cyclosporine Modified Modified Cyclosporine | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 959 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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