STRIVERDI RESPIMAT INHAL SPRAY (4 GM ) (NDC: 00597019261)
2024 Medicare Prescription Drug Plan (MAPD) Information
Click here for the Chart Legend |
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Plan Name |
Monthly Prem. |
De- duct- ible |
Does Plan Offer Additional Gap Coverage |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Plan’s Avg. Retail Drug Price 30-Day |
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Mail Order |
Essence Advantage (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Essence Advantage (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
|
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Essence Advantage Choice (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Select (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Select (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Select (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Essence Advantage Select (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Select (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Select (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Select (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$39.00 | $97.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Choice Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Choice Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Align (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Align (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.61 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Align (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Align (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.46 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Align (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Align (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.61 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Align (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Align (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.46 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Align (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Align (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.61 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthPartners UnityPoint Health Align (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Align (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.46 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Community HMO Diabetes and Heart (HMO C-SNP)
![Email Prescription and/or Health Benefit details for Humana Community HMO Diabetes and Heart (HMO C-SNP)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Community HMO Diabetes and Heart (HMO C-SNP)
![Email Prescription and/or Health Benefit details for Humana Community HMO Diabetes and Heart (HMO C-SNP)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Community HMO Diabetes and Heart (HMO C-SNP)
![Email Prescription and/or Health Benefit details for Humana Community HMO Diabetes and Heart (HMO C-SNP)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Community Select (HMO)
![Email Prescription and/or Health Benefit details for Humana Community Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.75 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Community Select (HMO)
![Email Prescription and/or Health Benefit details for Humana Community Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.75 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Community Select (HMO)
![Email Prescription and/or Health Benefit details for Humana Community Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.75 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H0028-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H0028-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.76 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H0028-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H0028-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.76 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H0028-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H0028-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.76 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H0028-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H0028-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.76 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H0028-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H0028-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.76 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus H0028-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H0028-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.76 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H0028-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H0028-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.76 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-007 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-007 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.71 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-013 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-013 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.14 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus H1468-013 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-013 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.14 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-013 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-013 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.14 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-013 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-013 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.14 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-013 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-013 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.14 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
![Email Prescription and/or Health Benefit details for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
2 |
Tier 2 |
0% | 0% | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-215 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-215 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.00 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-251 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-251 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.77 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.39 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.73 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.77 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.39 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.73 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.77 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.39 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.73 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.77 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.39 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.73 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.77 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.39 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.73 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.77 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.39 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.73 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.77 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.39 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.73 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.77 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.39 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-318 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-318 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.73 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-068 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-068 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$250* |
Yes, but No Gap Coverage for this drug. |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.84 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$300 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$300 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$300 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$300 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$300 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$300 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$300 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice Plus (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.20 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice Plus (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.20 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice Plus (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.20 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice Plus (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.20 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Essence Advantage Choice Plus (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.20 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice Plus (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.20 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Choice Plus (PPO)
![Email Prescription and/or Health Benefit details for Essence Advantage Choice Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.20 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$45.00 | $112.50 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-283 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-283 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-399 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-399 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.47 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$32.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$32.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$32.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$32.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$32.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$32.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$32.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-006 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-006 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.92 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Symmetry (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Symmetry (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.61 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Symmetry (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Symmetry (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.46 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Symmetry (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Symmetry (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.61 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HealthPartners UnityPoint Health Symmetry (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Symmetry (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.46 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Symmetry (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Symmetry (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.61 |
Browse Plan Formulary all covered insulin pay $35 or less |
HealthPartners UnityPoint Health Symmetry (PPO)
![Email Prescription and/or Health Benefit details for HealthPartners UnityPoint Health Symmetry (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $117.50 | None | $251.46 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.75 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.75 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Plus H1468-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.75 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Humana Gold Plus H1468-014 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H1468-014 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$49.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.75 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Basic Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Basic Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.80 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$34.00 | $85.00 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.80 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$34.00 | $85.00 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Essence Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.80 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$34.00 | $85.00 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.80 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$34.00 | $85.00 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.80 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$34.00 | $85.00 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.80 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$34.00 | $85.00 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
Essence Advantage Plus (HMO)
![Email Prescription and/or Health Benefit details for Essence Advantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$53.80 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$34.00 | $85.00 | Q:4 /28Days | $256.26 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-032 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-032 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$61.00 |
$200* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.97 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-032 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-032 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$61.00 |
$200* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.97 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-032 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-032 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$61.00 |
$200* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.97 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$68.00 |
$200 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$68.00 |
$200 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$68.00 |
$200 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$68.00 |
$200 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$68.00 |
$200 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$68.00 |
$200 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
![Email Prescription and/or Health Benefit details for UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$68.00 |
$200 |
Yes, but No Gap Coverage for this drug. |
4 |
Non-Preferred Drug |
$100.00 | $300.00 | Q:4 /28Days | $252.12 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice R5361-002 (Regional PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice R5361-002 (Regional PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$97.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
24% | 24% | Q:4 /30Days | $247.86 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-013 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-013 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.10 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-004 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-004 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$100.00 |
$300* |
No additional gap coverage, only the Donut Hole Discount |
3* |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $248.66 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare HMO 20 Rx (HMO)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare HMO 20 Rx (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$125.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-122 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-122 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$132.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.51 |
Browse Plan Formulary all covered insulin pay $35 or less |
Humana Gold Choice H8145-122 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H8145-122 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$132.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.51 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5216-357 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5216-357 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $247.96 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
HumanaChoice H5525-069 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H5525-069 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$138.00 |
$545 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $131.00 | Q:4 /30Days | $249.31 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS 10 Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS 10 Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$0 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.42 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Plan Name |
Monthly Prem. |
De- duct- ible |
Additional Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |
Health Alliance Medicare POS Enrich Rx (HMO-POS)
![Email Prescription and/or Health Benefit details for Health Alliance Medicare POS Enrich Rx (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$165.00 |
$250 |
Yes, but No Gap Coverage for this drug. |
3 |
Preferred Brand |
$47.00 | $94.00 | None | $254.64 |
Browse Plan Formulary all covered insulin pay $35 or less |