Humana Walmart Value Rx Plan (PDP)

Medicare Plan Details (2022 Plan)


Monthly Premium

 

by Humana
Additional Coverage

(none)

Overall Government Star Rating
 4.0
out of 5 stars

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Plan Type

Prescription Drug (Part D)

 

$23
$480.00
No

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 :
25%

Brand-name drugs :
25%


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
 4
 5
 4
 4
 3

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