Key
C | Covered - No restrictions |
Q | Has quantity limits |
S | Has step therapy |
P | Has prior authorization |
N | Not Covered |
| AARP MedicareRx Saver Plus (PDP) S5921-373 | Humana Walmart-Preferred Rx Plan (PDP) S5884-112 | CareMore Touch (HMO SNP) H4346-003 |
| C S | Q | QP |
| C S | Q | Q |
| N | N | N |
| N | Q | Q |
| C | Q S | Q |
| C | C | C |
| P | C | P |
| N | Q | Q |
| N | Q | Q |
| C | C | C |
| P | P | P |
| C | Q | Q |
| N | N | N |
| N | N | N |
| C S | C | Q |
| C | Q | Q |
| N | N | N |
| P | N | QP |
| C | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| C | N | N |
| C | N | N |
| C | C | N |
| AARP MedicareRx Saver Plus (PDP) S5921-373 | Humana Walmart-Preferred Rx Plan (PDP) S5884-112 | CareMore Touch (HMO SNP) H4346-003 |
| C | P | P |
| C | N | N |
| C | N | N |
| N | QP | QP |
| N | N | QP |
| P | QP | N |
| C | QP | Q |
| C | N | C |
| C | C | Q |
| C | C | P |
| C | C | P |
| N | N | Q |
| P | P | P |
| C | Q | QP |
| C | Q | Q |
| P | QP | QP |
| N | N | N |
| P | P | N |
| C | C | P |
| C | Q | Q |
| N | C | N |
| C S | C | QP |
| N | N | N |
| C | Q | Q |
| P | QP | N |
| AARP MedicareRx Saver Plus (PDP) S5921-373 | Humana Walmart-Preferred Rx Plan (PDP) S5884-112 | CareMore Touch (HMO SNP) H4346-003 |
| C | Q | Q |
| C | Q | N |
| C S | Q | C |
| C | Q | Q |
| N | N | N |
| N | N | N |
| C | N | N |
| P | Q S | P |
| C | N | N |
| C | Q | QP |
| C | C | QP |
| N | Q | Q |
| N | C | Q |
| N | C | Q |
| N | C | Q |
| N | C | Q |
| N | Q | N |
| N | N | N |
| C S | Q S | Q |
| N | N | N |
| P | QP | Q |
| N | N | N |
| N | Q | N |
| N | N | N |
| N | N | N |
| AARP MedicareRx Saver Plus (PDP) S5921-373 | Humana Walmart-Preferred Rx Plan (PDP) S5884-112 | CareMore Touch (HMO SNP) H4346-003 |
| C | C | Q |
| N | N | N |
| P | C | P |
| C | QP | Q |
| C | N | N |
| C | Q | C |
| C | N | Q |
| C | Q | Q |
| N | N | N |
| C | QP | N |
| C | N | N |
| N | N | N |
| C | Q | Q |
| P | N | N |
| C | Q | Q |
| C | Q | Q |
| C | Q | N |
| P | QP | P |
| C | N | N |
| C | N | P |
| C | N | C |
| C | C | Q |
| N | C | Q |
| C | C | Q |
| N | N | N |
| AARP MedicareRx Saver Plus (PDP) S5921-373 | Humana Walmart-Preferred Rx Plan (PDP) S5884-112 | CareMore Touch (HMO SNP) H4346-003 |
| C | Q | Q |
| P | QP | QP |
| P | QP | QP |
| P | QP | QP |
| C | Q S | N |
| N | N | N |
| N | N | N |
| C | Q | Q |
| N | C | N |
| N | N | N |
| P | Q | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| P | QP | QP |
| P | P | P |
| P | QP | C |
| C | N | N |
| C | N | N |
| C | N | N |
| N | C | N |
| P | N | N |
| P | N | N |
| C | N | N |
| C S | N | Q |
| AARP MedicareRx Saver Plus (PDP) S5921-373 | Humana Walmart-Preferred Rx Plan (PDP) S5884-112 | CareMore Touch (HMO SNP) H4346-003 |
| P | QP | N |
| P | C | QP |
| N | N | N |
| P | QP | N |
| N | N | N |
| C | Q | P |
| C | Q | Q |
| N | N | Q |
| N | N | N |
| N | N | N |
| C | Q | Q |
| N | N | N |
| C | N | N |
| C | Q | Q |
| C | Q | Q |
| N | N | N |
| C | C | C |
| N | N | N |
| C | Q | Q |
| N | Q | N |
| N | N | N |
| C S | N | Q |
| N | N | N |
| P | P | P |
| N | C | C |
| AARP MedicareRx Saver Plus (PDP) S5921-373 | Humana Walmart-Preferred Rx Plan (PDP) S5884-112 | CareMore Touch (HMO SNP) H4346-003 |
| N | N | N |
| N | N | N |
| N | N | Q |
| P | Q | C |
| C | QP | QP |
| N | N | N |
| N | N | N |
| N | N | N |
| C | Q | Q |
| C | Q | Q |
| C | N | P |
| C | Q | QP |
| N | N | N |
| P | C | QP |