Humana Premier Rx Plan (PDP)

Our most comprehensive prescription drug plan (PDP) covers more than 3,700 prescription drugs and has a generous formulary to help you manage drug costs.

Enjoy affordable or even $0 copays for Tier 1 and Tier 2 medications with no deductible for a 90-day supply filled at a preferred mail order pharmacy. For eligible* members, this plan also offers stable $35 or less Select Insulin copays per 30-day supply through the coverage gap when filled at an in-network pharmacy.

*The Insulin Savings Program is not available to members who receive Extra Help.

Compare the benefits of Humana’s 3 prescription drug plans (PDP)
Humana Premier Rx Plan (PDP) Humana Walmart Value Rx Plan (PDP) Humana Basic Rx Plan (PDP) Best for Members who want the security of our most comprehensive PDP, with copays as low as $0 and $0 deductibles on over 900 Tier 1 and Tier 2 drugs† Members looking for a plan with an affordable premium that also features copays as low as $0 (depending on region) and a $0 deductible on Tier 1 and Tier 2 drugs† Members who qualify for Extra Help, which may cover the entire cost of the premium on this plan, and people who want affordable basic coverage with access to a preferred cost-sharing network Monthly premium $68.40–$86.20* $22.70–$25* $23.90–$50.60* Annual prescription deductible $0 – Tiers 1 and 2
$480 – Tiers 3, 4 and 5 $0 – Tiers 1 and 2
$480 – Tiers 3, 4 and 5 $480 on all tiers Number of covered prescription drugs More than 3,700 More than 3,600 More than 3,450 Pharmacy network Shop at a broad network of pharmacies nationwide, and enjoy preferred cost sharing† at Humana Pharmacy®, Walmart, Walmart Neighborhood Markets, Sam’s Club, Publix, Kroger, Harris Teeter, H-E-B, Costco pharmacies and the Albertsons Companies family of pharmacies, where you may save even more. Shop at a broad network of pharmacies nationwide, and enjoy preferred cost sharing† at Humana Pharmacy®, Walmart, Walmart Neighborhood Markets, Sam’s Club, Publix, Kroger, Harris Teeter, H-E-B, Costco pharmacies and the Albertsons Companies family of pharmacies, where you may save even more. Shop at a broad network of pharmacies nationwide, and enjoy preferred cost sharing† at Humana Pharmacy®, Walmart, Walmart Neighborhood Markets, Sam’s Club, Publix, Kroger, Harris Teeter, H-E-B, Costco pharmacies and the Albertsons Companies family of pharmacies, where you may save even more.

See plans in your area

Learn more about Humana Walmart Value Rx Plan (PDP)

Learn more about Humana Basic Rx Plan (PDP)
*Premium varies by state or region. Please refer to the Summary of Benefits for additional information.

†If you don't live in an area where preferred cost-sharing pharmacies are close to you, your ability to take advantage of this benefit will be limited. In some areas, preferred cost-sharing pharmacies may be extremely limited.

Learn more: Important information about access to preferred cost-share pharmacy locations, PDF opens in new window

Humana Premier Rx Plan (PDP) prescription costs

Annual deductible: $0 for Tiers 1 and 2; $480 for Tiers 3, 4 and 5

Drug tier Preferred cost-sharing retail network pharmacies (30-day supply) All other retail network cost-sharing pharmacies (30-day supply) Humana Pharmacy mail-delivery preferred cost sharing pharmacies (90-day supply) Tier 1
Preferred generic $1 copay $5 copay $0 copay Tier 2
Generic $4 copay $10 copay $0 copay Tier 3
Preferred brand $45 copay
$30 copay on Select Insulins Ɨ $47 copay
$35 copay on Select Insulins Ɨ $125 copay
$80 copay on Select Insulins Ɨ Tier 4
Non-preferred drug 39%–49% coinsurance (depending on region)* 41%–50% coinsurance (depending on region)* 39%–49% coinsurance (depending on region)* Tier 5
Specialty tier 25% coinsurance* 25% coinsurance* 90-day supply not available for Tier 5
*Cost sharing varies by state or region. Please refer to the Summary of Benefits for additional information.

90-day supplies are available for most drugs on Tiers 1–4 (subject to quantity limits).

Ɨ The Humana Premier Rx Plan (PDP) includes the Part D Senior Savings Model (which Humana calls the Insulin Savings Program). It provides affordable, predictable copayments on Select Insulins through the first 3 drug payment stages of the Part D benefit, including the coverage gap otherwise known as the “donut hole”. On the Humana Premier Rx Plan (PDP), the copayment for Select Insulins is the same for both vials and pens. Select Insulins include all of the preferred insulins on Humana’s formulary, including rapid-acting, short-acting, intermediate-acting, and long-acting insulin vials and pens.

Be sure to check the Drug List to see which insulins are covered. You can also find your other medications’ 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.

More help choosing the plan that’s right for you

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View plans with their premiums and copays. You can also see if the drugs you take now are covered and what they'll cost based on your plan choice.

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Call 1 - 888 - 204 - 4062 (TTY: 711), daily, 5 a.m. to 8 p.m., local time or

The Humana Premier Rx Plan (PDP) includes the Part D Senior Savings Model, which Humana calls the Insulin Savings Program.

Under this program, eligible Premier plan members will pay stable $35 or less Select Insulin copays per 30-day supply through the coverage gap when filled at a in-network pharmacy.

To learn more, visit our Insulin Savings Program page.