Humana Preferred Rx plan (PDP)

Potential savings with low copays and preferred cost sharing

Humana Preferred Rx plan features some copays as low as $0 after deductible for Tier 1 prescription drugs when filled at preferred pharmacies like Walgreen’s, Walmart, Walmart Neighborhood Market, and Sam’s Club (no membership required).

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Enjoy these benefits:

  • Monthly premiums ranging from $26 to $50 depending on your location
  • $400 annual deductible
  • Mail-order copays as low as $0 on a 90-day supply of Tier 1 and Tier 2 drugs (after deductible) at Humana Pharmacy®, a mail-order pharmacy that offers preferred cost sharing

How the Humana Preferred Rx plan works

Preferred cost sharing is available at over 8,000 Walgreen’s and 5,000 Walmart, Walmart Neighborhood Market, and Sam’s Club pharmacies (no membership required).

While you can use other pharmacies in the network, you will likely pay more for drugs at these pharmacies.

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

Humana Preferred Rx prescription costs

Pharmacies Tier 1 – Preferred generics Tier 2 – Generic Tier 3 – Preferred brand Tier 4 – Non-preferred drug Tier 5 – Specialty
  Annual deductible $400 $400 $400
Walgreen’s, Walmart, Sam's Club and Walmart Neighborhood Market preferred retail network pharmacy cost sharing What you pay for a 30-day prescription supply: $0 copay $1 copay 20% coinsurance 35% coinsurance 25% coinsurance
All other retail network pharmacies cost sharing What you pay for a 30-day prescription supply: $2-5 copay* $3-9 copay* 22-25% coinsurance 35–50% coinsurance* 25% coinsurance
Humana Pharmacy preferred mail-order network pharmacy cost sharing What you pay for a 90-day prescription supply: $0 copay $0 copay 15% coinsurance 30% coinsurance 90-day prescription supply not available - 25% coinsurance for a 30-day supply

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

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 penalty for not enrolling when you’re first eligible for Medicare.

How can we help?

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Our licensed Humana sales agents are available to help you review your options so you can select the coverage that best meets your needs

We know managing your medication is important. Use these resources to determine the right coverage for you.