This is archive material for research purposes. Please see
PDPFinder.com or
MAFinder.com for current plans.
2011 Medicare Prescription Drug Plan Cost-Sharing Details
| 2011 Medicare Prescription Drug Formulary (Drug List) Cost-Sharing Details | ||||||
|
Humana Walmart-Preferred Rx Plan (PDP) (S5884-114-0) Benefit Details 
 | ||||||
| This plan is available in CMS PDP Region 32 Click on a letter below to view the Humana Walmart-Preferred Rx Plan (PDP) Formulary A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 0-9 | ||||||
| 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 | ||||||
| All Formulary Drug Tiers: | 100% | 100% | 100% | 100% | 100% | 100% |
| Initial Coverage Phase Cost-Sharing | ||||||
| Tier 1: Preferred Generic: | $2.00 | $10.00 | $0.00 | $6.00 | $30.00 | $0.00 |
| Tier 2: Generic: | $5.00 | $10.00 | $0.00 | $15.00 | $30.00 | $0.00 |
| Tier 3: Non-Preferred Generic/Preferred Brand: | 20% | 37% | 20% | 20% | 37% | 20% |
| Tier 4: Non-Preferred Brand: | 35% | 50% | 35% | 35% | 50% | 35% |
| 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 Walmart-Preferred Rx Plan (PDP) 2011 Formulary Browser by choosing a letter below: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 0-9 | ||||||