Wellpoint Lung Care (HMO-POS C-SNP)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$75.00
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 | Baclofen | Brand | Tier 2 | $0.00 | Details |
| 2 | Verzenio abemaciclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | LACTULOSE Lactulose | Brand | Tier 2 | $0.00 | Details |
| 4 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 6 | $0.00 | Details |
| 5 | Potassium Chloride | Brand | Tier 2 | $0.00 | Details |
| 6 | Bromocriptine mesylate | Brand | Tier 2 | $0.00 | Details |
| 7 | TESTOSTERONE ENANTHATE | Brand | Tier 2 | $0.00 | Details |
| 8 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 9 | ZOLINZA vorinostat | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | Enoxaparin Sodium Enoxaparin sodium | Brand | Tier 2 | $0.00 | Details |
| 11 | Carbidopa and levodopa | Brand | Tier 2 | $0.00 | Details |
| 12 | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | Brand | Tier 2 | $0.00 | Details |
| 13 | Everolimus | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Omeprazole | Brand | Tier 6 | $0.00 | Details |
| 15 | Dextrose and Sodium Chloride | Brand | Tier 2 | $0.00 | Details |
| 16 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 17 | Ciprofloxacin in Dextrose ciprofloxacin | Brand | Tier 4 | 0.3% coinsurance | Details |
| 18 | Cilostazol | Brand | Tier 2 | $0.00 | Details |
| 19 | SOMAVERT pegvisomant | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | 0.3% 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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