Humana Basic Rx Plan (PDP) - S5884-108-000

Plan too new to be measured* for plan year 2026

$0.00

Monthly Premium

Humana Basic Rx Plan (PDP) is a Medicare Part D Prescription Drug Plan offered by Humana Inc.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$0.00

Monthly Premium

Plan ID: S5884-108-000

Louisiana Medicare beneficiaries may want to consider reviewing their Medicare prescription drug coverage options, such as a standalone Part D prescription drug plan (PDP) or a Medicare Advantage (Medicare Part C) plan that includes drug coverage.

A Part D plan can be used alongside your Original Medicare (Part A and Part B) coverage. A Medicare Advantage plan that includes drug coverage combines your Part A, Part B and Part D benefits into a single plan

Learn more about Louisiana Medicare prescription drug plans like the one below and find a plan that offers the benefits you want at an affordable price.

Humana Basic Rx Plan (PDP) - S5884-108-000 Basic Costs and Coverage

Coverage	Details
Monthly plan premium	$0.00
Annual deductible	$615.00
Preferred pharmacies?	Yes
Accepts Mail Order?	Yes
Star Rating	Plan too new to be measured

Prescription Drug Costs and Coverage

The Humana Basic Rx Plan (PDP) is a prescription drug plan which offers the following coverage:

Initial Coverage Level

30 day supply
90 day supply

Tiers	Tier 1 Preferred Generic Drug	Tier 2 Generic Drug	Tier 3 Preferred Brand Drug	Tier 4 Non-Preferred Drug	Tier 5 Specialty Tier Drug
Standard retail	$0.00	$1.00	25%	32%	25%
Preferred mail order	$0.00	$0.00	20%	32%	25%
Standard mail order	$0.00	$1.00	25%	32%	25%

Tiers	Tier 1 Preferred Generic Drug	Tier 2 Generic Drug	Tier 3 Preferred Brand Drug	Tier 4 Non-Preferred Drug	Tier 5 Specialty Tier Drug
Standard retail	$0.00	$3.00	25%	N/A	N/A
Preferred mail order	$0.00	$0.00	20%	N/A	N/A
Standard mail order	$0.00	$3.00	25%	N/A	N/A

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