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Humana Value Rx Plan (PDP)

Health Insurance Company: Humana

Medicare Prescription Drug Part D Plan Details

$30 /mo

monthly premium

Humana Value Rx Plan (PDP)

Coverage

Overall Star Rating (2025)

3.5

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

20% coinsurance (30-day supply)
20% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

34% coinsurance (30-day supply)
34% 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

$4.00 copay (30-day supply)
$12.00 copay (90-day supply)

Tier 3: Preferred Brand

20% coinsurance (30-day supply)
20% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

34% coinsurance (30-day supply)
34% 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

$4.00 copay (30-day supply)
$12.00 copay (90-day supply)

Tier 3: Preferred Brand

20% coinsurance (30-day supply)
20% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

34% coinsurance (30-day supply)
34% 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

20% coinsurance (30-day supply)
20% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

34% coinsurance (30-day supply)
34% 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:

Oklahoma

Counties:

Adair, Alfalfa, Atoka, Beaver, Beckham, Blaine, Bryan, Caddo, Canadian, Carter, Cherokee, Choctaw, Cimarron, Cleveland, Coal, Comanche, Cotton, Craig, Creek, Custer, Delaware, Dewey, Ellis, Garfield, Garvin, Grady, Grant, Greer, Harmon, Harper, Haskell, Hughes, Jackson, Jefferson, Johnston, Kay, Kingfisher, Kiowa, Latimer, Le Flore, Lincoln, Logan, Love, Major, Marshall, Mayes, Mcclain, Mccurtain, Mcintosh, Murray, Muskogee, Noble, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Ottawa, Pawnee, Payne, Pittsburg, Pontotoc, Pottawatomie, Pushmataha, Roger Mills, Rogers, Seminole, Sequoyah, Stephens, Texas, Tillman, Tulsa, Wagoner, Washington, Washita, Woods, Woodward

View all plans in your Oklahoma County

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