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2014 Medicare Prescription Drug Plan Benefit Details for the Humana Walmart Rx Plan (PDP)
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2014 Medicare Prescription Drug Plan Details
Medicare Plan Name:Humana Walmart Rx Plan (PDP)
   by Humana Insurance Company
State:Maine
Plan ID:S5884 - 148 - 0     Click to see other plans
Member Services:1-800-281-6918
— This plan information is for research purposes only. —
Click here to see plans for the current plan year
Medicare Contact Information:Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.
TTY users 1-877-486-2048
or contact your local SHIP for assistance
Email a copy of the Humana Walmart Rx Plan (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$12.60
Annual Deductible:$310
$0 Premium if LIS Benefits?No, this plan does NOT qualify for the $0 Premium.
Annual Initial Coverage Limit (ICL):$2,850
Drug Benefit Type ❔Enhanced Alternative (EA)
Additional Gap Coverage?No additional gap coverage, only the Donut Hole Discount
Total Number of Formulary Drugs:3,310 drugsBrowse the Humana Walmart Rx Plan (PDP) Formulary
This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. 
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$1.00$4.0020%39%25%
• Number of Drugs per
  Tier:		2498247441107386
Plan Offers Mail Order?Yes
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in your CMS Region:10,980 members     (CMS Region 01)
Number of Members enrolled in this plan nationally:889,865 members
Plan’s Summary Star Rating: 3.5 out of 5 Stars.
• Customer Service Rating: 5 out of 5 Stars.
• Member Experience Rating: 2 out of 5 Stars.
• Drug Cost Accuracy Rating: 3 out of 5 Stars.




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