Humana Premier Rx Plan prescription costs

$0 deductible on Tier 1 and Tier 2 medications; $435 annual deductible on Tiers 3, 4 and 5 medications in all states, with the exception of $425 in New York and $190 in Puerto Rico
Walmart, Walmart Neighborhood Markets, and Sam’s Club preferred retail network pharmacy cost sharing (30 day supply*) All other retail network pharmacies cost sharing (30-day supply*) Humana Pharmacy preferred mail-delivery network pharmacy cost sharing (90-day supply) Tier 1
Preferred Generic
$1 co-pay $5 co-pay $0 co-pay
Tier 2
$4 co-pay $10 co-pay $0 co-pay
Tier 3
Preferred Brand
$42 co-pay $47 co-pay $116 co-pay
Tier 4
Non-Preferred Drug
44% co-insurance 50% co-insurance 44% co-insurance
Tier 5
Specialty Drug
25-29% co-insurance** 25-29% co-insurance** 90-day supply not available for Tier 5 medications

Be sure to check the Drug List to find your medication’s tiers and choose a plan based on those costs. You’re not required to have a prescription drug plan, but you may face a late enrollment penalty for not enrolling when you’re first eligible for Medicare.

*90-day supplies are available for most drugs on Tiers 1–4 (subject to quantity limits); copay is 3 times the 30-day copay.

**Cost sharing varies by state or region. Please refer to the Summary of Benefits for your state for additional information.