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Medicare Prescription Drug Plan Cost-Sharing Details
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
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2013 Medicare Prescription Drug
Formulary (Drug List) Cost-Sharing Details
Humana Walmart-Preferred Rx Plan (PDP) (S5552-004-0)
Benefit Details        
This plan is available in CMS PDP Region 3
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 Generics: $1.00 $10.00 $0.00 $3.00 $30.00 $0.00
Tier 2: Non-Preferred Generics: $4.00 $13.00 $0.00 $12.00 $39.00 $0.00
Tier 3: Preferred Brand: 20% 25% 20% 20% 25% 20%
Tier 4: Non-Preferred Brand: 33% 36% 33% 33% 36% 33%
Tier 5: Specialty: 25% 25% 25% n/a n/a n/a
Coverage Gap (Donut Hole) Phase Cost Sharing
Plan offers no Gap Coverage -- 21% Generic and 52.5% Brand Donut Hole Discount applies
All Formulary Generic Drugs: 79% 79% 79% 79% 79% 79%
All Formulary Brand-Name Drugs: 47.5% 47.5% 47.5% 47.5% 47.5% 47.5%
Catastrophic Coverage Phase Cost Sharing
Generic & Preferred Multi-Source Drugs: The greater of 5% or $2.65 The greater of 5% or $2.65
Other Drugs (Brand-Name or Non-Preferred Multi-Source Drugs): The greater of 5% or $6.60 The greater of 5% or $6.60
Go to the Humana Walmart-Preferred Rx Plan (PDP) 2013 Formulary Browser by choosing a letter below:
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