Wellpoint Chronic Care (HMO-POS C-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$150.00
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 | Talzenna talazoparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 2 | INLYTA axitinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Loxapine | Brand | Tier 2 | $0.00 | Details |
| 5 | Linzess linaclotide | Brand | Tier 3 | 0.2% coinsurance | Details |
| 6 | ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban | Brand | Tier 3 | 0.2% coinsurance | Details |
| 7 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 6 | $0.00 | Details |
| 8 | Gilotrif afatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 9 | Fluphenazine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 10 | Amoxicillin and Clavulanate Potassium | Brand | Tier 2 | $0.00 | Details |
| 11 | PENBRAYA meningococcal groups a, b, c, w, and y vaccine | Brand | Tier 6 | $0.00 | Details |
| 12 | Mefloquine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 13 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 6 | $0.00 | Details |
| 14 | EVOTAZ atazanavir and cobicistat | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Amoxicillin and Clavulanate Potassium | Brand | Tier 2 | $0.00 | Details |
| 16 | Propranolol Hydrochloride propranolol hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 17 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 6 | $0.00 | Details |
| 18 | Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 3 | 0.2% coinsurance | Details |
| 19 | Nefazodone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 20 | Fiasp insulin aspart injection | Brand | Tier 3 | 0.2% coinsurance | 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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