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Oct 15th - Dec 7th

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Humana Value Rx Plan (PDP)

Health Insurance Company: Humana

Medicare Prescription Drug Part D Plan Details

$109 /mo

monthly premium

Humana Value Rx Plan (PDP)

Coverage

Overall Star Rating (2025)

2.5

out of 5 stars

General Plan Details

Prescription Drug Deductible

$573

Preferred Generic copay

Preferred Brand copay

Eligible for Low Income Subsidy

Rx Drug Coverage - Preferred Retail Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 3: Preferred Brand

17% coinsurance (30-day supply)
17% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

35% coinsurance (30-day supply)
35% coinsurance (90-day supply)

Tier 5: Specialty Tier

26% coinsurance (30-day supply)

Rx Drug Coverage - Standard Retail Cost

Tier 1: Preferred Generic

$1.00 copay (30-day supply)
$3.00 copay (90-day supply)

Tier 2: Generic

$2.00 copay (30-day supply)
$6.00 copay (90-day supply)

Tier 3: Preferred Brand

17% coinsurance (30-day supply)
17% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

35% coinsurance (30-day supply)
35% coinsurance (90-day supply)

Tier 5: Specialty Tier

26% coinsurance (30-day supply)

Rx Drug Coverage - Standard Mail Order Cost

Tier 1: Preferred Generic

$1.00 copay (30-day supply)
$3.00 copay (90-day supply)

Tier 2: Generic

$2.00 copay (30-day supply)
$6.00 copay (90-day supply)

Tier 3: Preferred Brand

17% coinsurance (30-day supply)
17% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

35% coinsurance (30-day supply)
35% coinsurance (90-day supply)

Tier 5: Specialty Tier

26% coinsurance (30-day supply)

Rx Drug Coverage - Preferred Mail Order Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 3: Preferred Brand

17% coinsurance (30-day supply)
17% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

35% coinsurance (30-day supply)
35% coinsurance (90-day supply)

Tier 5: Specialty Tier

26% coinsurance (30-day supply)

Plan Links

Plan Link

Doctor Lookup

Drug Link

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Where This Plan is Available

State:

New York

Counties:

Albany, Allegany, Bronx, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Montgomery, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Queens, Rensselaer, Richmond, Rockland, Saint Lawrence, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Suffolk, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Westchester, Wyoming, Yates

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Additional Plan Info

Plan Year:

2025

Insurance Company Website:

Humana

Humana Value Rx Plan (PDP)

Medicare Prescription Drug Part D Plan Details

General Plan Details

Rx Drug Coverage - Preferred Retail Cost

Tier 1: Preferred Generic

Tier 2: Generic

Tier 3: Preferred Brand

Tier 4: Non-Preferred Drug

Tier 5: Specialty Tier

Rx Drug Coverage - Standard Retail Cost

Tier 1: Preferred Generic

Tier 2: Generic

Tier 3: Preferred Brand

Tier 4: Non-Preferred Drug

Tier 5: Specialty Tier

Rx Drug Coverage - Standard Mail Order Cost

Tier 1: Preferred Generic

Tier 2: Generic

Tier 3: Preferred Brand

Tier 4: Non-Preferred Drug

Tier 5: Specialty Tier

Rx Drug Coverage - Preferred Mail Order Cost

Tier 1: Preferred Generic

Tier 2: Generic

Tier 3: Preferred Brand

Tier 4: Non-Preferred Drug

Tier 5: Specialty Tier

Plan Links

Where This Plan is Available

Additional Plan Info

Health Insurance Companies Offering Plans