Humana Walmart Value Rx Plan (PDP)

Medicare Plan Details

2022 Plan
Monthly Premium
(select county for price)


by Humana
Additional Coverage


Overall Government Star Rating
out of 5 stars

State: Pennsylvania

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Plan Type

Prescription Drug (Part D)



Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phaseCatastrophic coverage phase
Preferred Generic$10.00 copay

Generic drugs :

Brand-name drugs :

Generic drugs :
$3.95 copay or 5% (whichever costs more)

Brand-name drugs :
$9.85 copay or 5% (whichever costs more)

Generic$20.00 copay
Preferred Brand18%
Non-Preferred Drug48%
Specialty Tier25%

Part B Drugs

Not covered
Not covered

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