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2012 Medicare Prescription Drug Plan Cost-Sharing Details
| 2012 Medicare Prescription Drug Formulary (Drug List) Cost-Sharing Details | ||||||
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Humana Enhanced (PDP) (S5884-030-0) Benefit Details 
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| This plan is available in CMS PDP Region 32 Click on a letter below to view the Humana Enhanced (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 |
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| Preferred Pharmacy | Standard Pharmacy | Mail- Order* | Preferred Pharmacy | Standard Pharmacy | Mail- Order* | |
| This plan does not have an Initial Deductible: | n/a | n/a | n/a | n/a | n/a | n/a |
| Initial Coverage Phase Cost-Sharing | ||||||
| Tier 1: Preferred Generic Drugs: | $7.00 | $12.00 | $0.00 | $21.00 | $36.00 | $0.00 |
| Tier 2: Preferred Brand Drugs: | $38.00 | $43.00 | $38.00 | $114.00 | $129.00 | $104.00 |
| Tier 3: Non-Preferred Brand Drugs: | $74.00 | $79.00 | $74.00 | $222.00 | $237.00 | $212.00 |
| Tier 4: Specialty Tier Drugs: | 33% | 33% | 33% | n/a | n/a | n/a |
| Coverage Gap (Donut Hole) Phase Cost Sharing Plan offers no Gap Coverage -- 14% Generic and 50% Brand Donut Hole Discount applies | ||||||
| All Formulary Generic Drugs: | 86% | 86% | 86% | 86% | 86% | 86% |
| 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 $2.60 | The greater of 5% or $2.60 | ||||
| Other Drugs (Brand-Name or Non-Preferred Multi-Source Drugs): | The greater of 5% or $6.50 | The greater of 5% or $6.50 | ||||
| Go to the Humana Enhanced (PDP) 2012 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 | ||||||