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Humana Premier Rx Plan (PDP) - S5884-177-000
$115.50
Monthly Premium
Humana Premier 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.
$115.50
Monthly Premium
Plan ID: S5884-177-000
Idaho and Utah 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 Idaho and Utah Medicare prescription drug plans like the one below and find a plan that offers the benefits you want at an affordable price.
Humana Premier Rx Plan (PDP) - S5884-177-000 Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $115.50 |
| Annual deductible | $0.00 |
| Preferred pharmacies? | Yes |
| Accepts Mail Order? | Yes |
| Star Rating | Plan too new to be measured |
Prescription Drug Costs and Coverage
The Humana Premier Rx Plan (PDP) is a prescription drug plan which offers the following coverage:
Initial Coverage Level
| 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 |
|---|---|---|---|---|---|
| Preferred retail | $0.00 | $4.00 | $45.00 | 50% | 33% |
| Standard retail | $5.00 | $10.00 | $47.00 | 50% | 33% |
| Preferred mail order | $0.00 | $0.00 | $45.00 | 50% | 33% |
| Standard mail order | $5.00 | $10.00 | $47.00 | 50% | 33% |
| 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 |
|---|---|---|---|---|---|
| Preferred retail | $0.00 | $12.00 | $135.00 | 50% | N/A |
| Standard retail | $15.00 | $30.00 | $141.00 | 50% | N/A |
| Preferred mail order | $0.00 | $0.00 | $125.00 | 50% | N/A |
| Standard mail order | $15.00 | $30.00 | $141.00 | 50% | N/A |
Plan Documents
| Links to plan documents |
Idaho Counties Served
- Ada
- Adams
- Bannock
- Bear Lake
- Benewah
- Bingham
- Blaine
- Boise
- Bonner
- Bonneville
- Boundary
- Box Elder
- Butte
- Camas
- Canyon
- Caribou
- Cassia
- Clark
- Clearwater
- Custer
- Elmore
- Franklin
- Fremont
- Gem
- Gooding
- Idaho
- Jefferson
- Jerome
- Kootenai
- Latah
- Lemhi
- Lewis
- Lincoln
- Madison
- Minidoka
- Nez Perce
- Oneida
- Owyhee
- Payette
- Pend Oreille
- Power
- Shoshone
- Spokane
- Teton
- Twin Falls
- Valley
- Washington