MedicarePartD.guide

A non-government resource built from CMS public data

Humana Value Rx Plan (PDP)

Contract S5884, plan 191, segment 0 · offered by Humana Insurance Co. & Humana Insurance Co. of NY · CMS PDP Region 12 (Alabama).

Plan features

Monthly premium$37.70
Annual deductible$601.00Tier 1 and 2 exempt
Drug benefit type—
$0 premium with full LIS—
Premium with Extra Help (LIS)—
Formulary drugs3,079
Formulary exception tier—
Mail order offered—
Plan reach—
Members in Alabama—
Members nationally—
Member services—
BIN / PCN—

CMS star ratings

Summary rating
3 out of 5 stars for Summary rating
Customer service
—
Member experience
—
Drug pricing & patient safety
—

Formulary tiers — preferred pharmacy, initial coverage phase

TierCost-sharingDrugs on tier
Tier 1$0.00—
Tier 2$0.00—
Tier 320%—
Tier 433%—
Tier 526%—

Cost-sharing by coverage phase

Tier30-day supply90-day supply
PreferredStandardMail OrderPreferredStandardMail Order
Initial deductible phase
Tier 1: Preferred Generic$0.00$1.00$0.00$0.00$3.00$0.00
Tier 2: Generic$0.00$3.00$0.00$0.00$9.00$0.00
Initial coverage phase
Tier 1: Preferred Generic$0.00$1.00$0.00$0.00$3.00$0.00
Tier 2: Generic$0.00$3.00$0.00$0.00$9.00$0.00
Tier 3: Preferred Brand20%20%15%20%20%15%
Tier 4: Non-Preferred Drug33%33%33%n/an/an/a
Tier 5: Specialty Tier26%26%26%n/an/an/a
Catastrophic coverage phase
Tier 1: Preferred Generic$0.00$0.00$0.00$0.00$0.00$0.00
Tier 2: Generic$0.00$0.00$0.00$0.00$0.00$0.00
Tier 3: Preferred Brand$0.00$0.00$0.00$0.00$0.00$0.00
Tier 4: Non-Preferred Drug$0.00$0.00$0.00$0.00$0.00$0.00
Tier 5: Specialty Tier$0.00$0.00$0.00$0.00$0.00$0.00