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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H2593-003 Cross-check on Medicare.gov →

Wellpoint I CareMore Home Care 2 (HMO I-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$340.00 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 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 2 $0.00 Details
2 Fluphenazine Hydrochloride Brand Tier 2 $0.00 Details
3 Cobenfy xanomeline and trospium chloride Brand Tier 5 $0.00 Details
4 FENTANYL Brand Tier 4 $0.00 Details
5 ZEJULA niraparib Brand Tier 5 $0.00 Details
6 Ibrance palbociclib Brand Tier 5 $0.00 Details
7 VARIVAX Varicella Virus Vaccine Live Brand Tier 6 $0.00 Details
8 Clozapine Brand Tier 2 $0.00 Details
9 Amoxicillin Brand Tier 3 $0.00 Details
10 Venclexta Venetoclax Brand Tier 3 $0.00 Details
11 RETEVMO selpercatinib Brand Tier 5 $0.00 Details
12 KISQALI ribociclib Brand Tier 5 $0.00 Details
13 Aptivus tipranavir Brand Tier 5 $0.00 Details
14 Amoxicillin Brand Tier 2 $0.00 Details
15 Diazepam Brand Tier 2 $0.00 Details
16 VAQTA hepatitis A vaccine, inactivated Brand Tier 6 $0.00 Details
17 Dexamethasone Brand Tier 2 $0.00 Details
18 Erlotinib Brand Tier 5 $0.00 Details
19 Xalkori CRIZOTINIB Brand Tier 5 $0.00 Details
20 Acarbose Brand Tier 2 $0.00 Details

Showing 20 of 959 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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