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2024 Medicare Part D Plan’s Negotiated Retail Drug Price
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Below you will find the average negotiated retail prescription drug price for your chosen Medicare Part D or Medicare Advantage plan, along with, tier cost-sharing details, your estimated cost for purchases during each coverage phase, tier cost-sharing details and your costs with explanations, and plan’s retail drug price history.
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2024 Medicare Prescription Drug Price Information
Humana Walmart Value Rx Plan (PDP) (S5884-204-0)
Benefit Details         
Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less.

Click on a letter below to view the
Humana Walmart Value Rx Plan (PDP) Formulary
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  0-9 
This Plan Uses Lower Cost-Sharing for Preferred Pharmacies
YF-VAX 5 DOSE VIAL  
Plan’s average negotiated retail drug price in
CMS PDP Region 25, includes: IA MN MT NE ND SD WY 		$557.04* 30-Day Supply
$1,671.11* 90-Day Supply
Formulary (Drug List) drug tier:Tier #1: Preferred Generic
This Tier has No Deductible.
Does this plan offer any Gap coverage?Yes
Does this drug have Gap coverage?Yes, this drug has coverage in the gap and brand-name drugs receive an additional, partial donut hole discount.
Drug Usage Management Restrictions:None
Formulary (Drug List) Tier Cost-Sharing Details
Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less.
  30-Day Supply
Cost-Sharing		 90-Day Supply
Cost-Sharing
Preferred Pharmacy Standard Pharmacy Mail- Order** Preferred Pharmacy Standard Pharmacy Mail- Order**
Initial $545 Deductible Cost Sharing:
 $0.00 $10.00 $0.00 $0.00 $30.00 $0.00
Initial Coverage Phase Cost-Sharing:
 $0.00 $10.00 $0.00 $0.00 $30.00 $0.00
Coverage Gap Phase Cost-Sharing:
 $0.00 $10.00 $0.00 $0.00 $30.00 $0.00
Plus Additional Donut Hole Discount  
(Generics 75%):
 25% 25% 25% 25% 25% 25%
Plus Additional Donut Hole Discount  
(Brand 75%):
 25% 25% 25% 25% 25% 25%
Catastrophic Coverage Phase Cost-Sharing (all Formulary Drugs):
 $0$0$0 $0$0$0
Your Estimated Cost for Purchases During Each Coverage Phase
  30-Day Supply
Cost-Sharing		 90-Day Supply
Cost-Sharing
Preferred Pharmacy Standard Pharmacy Mail- Order** Preferred Pharmacy Standard Pharmacy Mail- Order**
Your Estimated Cost in Deductible Phase:
 $0.00 $20.00 $0.00 $0.00 $60.00 $0.00
Your Estimated Cost Initial Coverage Phase:
 $0.00 $10.00 $0.00 $0.00 $30.00 $0.00
Your Estimated Cost in Gap if Drug is Generic (75% discount):
 
Your Estimated Cost in Gap if Drug is Brand-Name (75% discount):
 $139.26$139.26$139.26 $417.78$417.78$417.78
Your Estimated Cost in Catastrophic Coverage (all Formulary Drugs):
 $0$0$0 $0$0$0
Tier Cost-Sharing Details and Your Costs with Explanations
  30-Day Supply
Cost-Sharing		 90-Day Supply
Cost-Sharing
Preferred Pharmacy Standard Pharmacy Mail- Order** Preferred Pharmacy Standard Pharmacy Mail- Order**
--- If you purchase during the Initial Deductible Phase ---
Initial $545 Deductible Cost Sharing:
 $0.00 $10.00 $0.00 $0.00 $30.00 $0.00
Your Estimated Cost in Deductible Phase:
 $0.00 $20.00 $0.00 $0.00 $60.00 $0.00
Explanation for 30-Day Preferred Pharmacy purchase:
  For a purchase of this drug made during the initial deductible phase, you cross over into other phases of your plan’s coverage (straddle claim).   So you pay 100% of the drug cost up to your deductible of $545 and the remaining amount ($557.04-$545) (price - deductible) falls into your initial coverage phase (ICP).   For the ICP portion of your coverage, your cost-sharing would be an additional $0.00, a flat copay up to your coverage limit of $5,030. Your estimated cost for a purchase made during the deductible phase would be $0.00 or $0.00 from deductible phase + $0.00 from initial coverage phase.
--- If you purchase during the Initial Coverage Phase ---
Initial Coverage Phase Cost-Sharing:
 $0.00 $10.00 $0.00 $0.00 $30.00 $0.00
Your Estimated Cost Initial Coverage Phase:
 $0.00 $10.00 $0.00 $0.00 $30.00 $0.00
Explanation for 30-Day Preferred Pharmacy purchase:
 The cost-sharing for purchases made during the initial coverage phase (ICP) would be a flat fee of $0.00.
--- If you purchase during the Coverage Gap Phase (Donut Hole) ---
Coverage Gap Phase Cost-Sharing:
 $0.00 $10.00 $0.00 $0.00 $30.00 $0.00
Your Estimated Cost in Gap if Drug is Generic (75% discount):
 
Your Estimated Cost in Gap if Drug is Brand-Name (75% discount):
 $139.26$139.26$139.26 $417.78$417.78$417.78
--- If you purchase during the Catastrophic Coverage Phase ---
Catastrophic Coverage Phase Cost-Sharing (all Formulary Drugs):
 $0$0$0 $0$0$0
Your Estimated Cost in Catastrophic Coverage (all Formulary Drugs):
 $0$0$0 $0$0$0
Explanation for 30-Day Preferred Pharmacy purchase:
 Beginning with plan year 2024, the Inflation Reduction Act (IRA) of 2022 eliminated beneficiary cost-sharing once your TrOOP reaches $8,000 -- the established maximum cap on out-of-pocket spending for Part D formulary drugs (RxMOOP).
Humana Walmart Value Rx Plan (PDP)
Average Negotiated Retail Drug Price History
 30-Day Supply90 Day Supply
September, 2024: $557.04$1,671.11
June, 2024: $557.04$1,671.11
March, 2024: $557.04$1,671.11
January, 2024: $557.04$1,671.11
September, 2023: $615.65$1,838.02
June, 2023: $615.45$1,837.68
March, 2023: $615.09$1,839.24
January, 2023: $616.09$1,842.42
September, 2022: n/an/a
June, 2022: n/an/a
March, 2022: n/an/a
January, 2022: n/an/a
September, 2021: n/an/a
June, 2021: n/an/a
March, 2021: n/an/a
January, 2021: n/an/a
September, 2020: n/an/a
June, 2020: n/an/a
March, 2020: n/an/a
January, 2020: n/an/a
September, 2019: 
June, 2019: 
March, 2019: 
January, 2019: 
September, 2018: 
June, 2018: 
March, 2018: 
January, 2018: 
September, 2017: 
June, 2017: 
March, 2017: 
January, 2017: 
September, 2016: 
June, 2016: 
April, 2016: 
January, 2016: 
September, 2015: 
June, 2015: 
April, 2015: 
January, 2015: 
September, 2014: 
June, 2014: 
March, 2014: 
January, 2014: 
October, 2013: 
January, 2013: --
April, 2012: --
September, 2010: --
Notes:
*The Medicare drug plan’s average negotiated retail drug price is based on several variables: the medication, the quantity of your prescription, the specific Medicare Part D plan, and the pharmacies in the plan’s service area. In this case, the average of the YF-VAX 5 DOSE VIAL prices that the Humana Walmart Value Rx Plan (PDP) has negotiated with each of the retail pharmacies in the plan’s service area (CMS PDP Region 25, includes: IA MN MT NE ND SD WY). In other words, when you use the Humana Walmart Value Rx Plan (PDP) to purchase YF-VAX 5 DOSE VIAL, you may pay slightly more or slightly less than the figures shown in the table above depending on the pharmacy where you fill your prescription and the quantity of your prescription. The example average retail prices used above are based on a quantity of 1 for the 30-day supply and a quantity of 3 for the 90-day supply.

**The mail-order cost-sharing is the plan’s "preferred" mail-order cost-sharing.

Return to the Humana Walmart Value Rx Plan (PDP) 2024 Formulary Browser by choosing a letter below:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  0-9 
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Chart Legend:

What does all this mean? Below are a few notes to help you understand the above 2024 Medicare Part D Humana Walmart Value Rx Plan (PDP) Plan Formulary.




 
 


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