What is the difference between a preferred cost-share and standard cost-share pharmacy?
Preferred cost-share pharmacies may provide prescriptions for our Medicare members at a lower cost than standard in-network cost-share pharmacies, depending on the plan.
Medicare Advantage prescription drug plan (MAPD)
Beginning in 2023, all Humana MAPD plans will have a single retail network in which you’ll no longer need to differentiate between standard and preferred cost-sharing retail pharmacies. This means you’ll have the same drug coverage no matter where you fill your prescriptions, as long as the retail pharmacy is in-network. You can find in-network retail pharmacies by accessing our
Medicare prescription drug plans (PDP)
Retail: All Humana’s Medicare PDP plans have preferred cost-share retail and mail-order pharmacies. Visit our
Cost sharing varies by state or region. Refer to the Summary of Benefits for additional information.
The Humana Prescription Drug Plan (PDP) pharmacy network includes limited lower-cost, preferred pharmacies in urban areas of AR, CT, DE, IA, IN, KY, MA, ME, MI, MN, MO, MS, NC, ND, NJ, NY, OH, RI, SD, TN, WI, WV; suburban areas of CT, MA, ME, MI, MN, MT, ND, NH, NJ, NY, OH, PA, PR, RI, WV; and rural areas of IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: DE, ME, MI, MN, MS, ND, OH; suburban areas of MT and ND; and rural areas of ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com.