MedicarePartD.guide

A non-government resource built from CMS public data

Humana Premier Rx Plan (PDP)

Contract S5884, plan 156, segment 0 · offered by Humana Insurance Co. & Humana Insurance Co. of NY · CMS PDP Region 10 (Georgia).

Plan features

Monthly premium$129.50
Annual deductible$0.00
Drug benefit type—
$0 premium with full LIS—
Premium with Extra Help (LIS)—
Formulary drugs3,146
Formulary exception tier—
Mail order offered—
Plan reach—
Members in Georgia—
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$4.00—
Tier 3$45.00—
Tier 450%—
Tier 533%—

Cost-sharing by coverage phase

Tier30-day supply90-day supply
PreferredStandardMail OrderPreferredStandardMail Order
Initial coverage phase
Tier 1: Preferred Generic$0.00$5.00$0.00$0.00$15.00$0.00
Tier 2: Generic$4.00$10.00$0.00$12.00$30.00$0.00
Tier 3: Preferred Brand$45.00$47.00$45.00$135.00$141.00$125.00
Tier 4: Non-Preferred Drug50%50%50%50%50%50%
Tier 5: Specialty Tier33%33%33%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