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2011 Medicare Prescription Drug Plan Cost-Sharing Details

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2011 Medicare Prescription Drug
Formulary (Drug List) Cost-Sharing Details
Humana Enhanced (PDP) (S5884-092-0)
Benefit Details        
This plan is available in CMS PDP Region 01
which includes: ME NH

Click on a letter below to view the
Humana Enhanced (PDP) Formulary
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This Plan Uses Lower Cost-Sharing for Preferred Pharmacies
  30-Day Supply
Cost-Sharing
90-Day Supply
Cost-Sharing
Preferred Pharmacy Standard Pharmacy Mail- Order* Preferred Pharmacy Standard Pharmacy Mail- Order*
Initial Deductible Phase Cost Sharing
Tier 1: Preferred Generic: $7.00 $12.00 $0.00 $21.00 $36.00 $0.00
Tier 2: Non-Preferred Generic/Preferred Brand: 100% 100% 100% 100% 100% 100%
Tier 3: Non-Preferred Brand: 100% 100% 100% 100% 100% 100%
Tier 4: Specialty Tier: 100% 100% 100% 100% 100% 100%
Initial Coverage Phase Cost-Sharing
Tier 1: Preferred Generic: $7.00 $12.00 $0.00 $21.00 $36.00 $0.00
Tier 2: Non-Preferred Generic/Preferred Brand: $41.00 $46.00 $41.00 $123.00 $138.00 $113.00
Tier 3: Non-Preferred Brand: $72.00 $77.00 $72.00 $216.00 $231.00 $206.00
Tier 4: Specialty Tier: 31% 31% 31% n/a n/a n/a
Coverage Gap (Donut Hole) Phase Cost Sharing
Plan offers no Gap Coverage -- 7% Generic and 50% Brand Donut Hole Discount applies
All Formulary Generic Drugs: 93% 93% 93% 93% 93% 93%
All Formulary Brand-Name Drugs: 50% 50% 50% 50% 50% 50%
Catastrophic Coverage Phase Cost Sharing
Generic & Preferred Multi-Source Drugs: The greater of 5% or $2.50 The greater of 5% or $2.50
Other Drugs (Brand-Name or Non-Preferred Multi-Source Drugs): The greater of 5% or $6.30 The greater of 5% or $6.30
Go to the Humana Enhanced (PDP) 2011 Formulary Browser by choosing a letter below:
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