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Humana Value Rx Plan (PDP) - S5884-197-000
$37.30
Monthly Premium
Humana Value 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.
$37.30
Monthly Premium
Missouri 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 Missouri Medicare prescription drug plans like the one below and find a plan that offers the benefits you want at an affordable price.
Humana Value Rx Plan (PDP) - S5884-197-000 Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $37.30 |
| Annual deductible | $573.00 |
| Preferred pharmacies? | Yes |
| Accepts Mail Order? | Yes |
| Star Rating | 3.5 out of 5 stars |
Prescription Drug Costs and Coverage
The Humana Value Rx Plan (PDP) is a prescription drug plan which offers the following coverage:
Deductible Coverage Level
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug |
|---|---|---|
| Preferred retail | $0.00 | $0.00 |
| Standard retail | $1.00 | $4.00 |
| Preferred mail order | $0.00 | $0.00 |
| Standard mail order | $1.00 | $4.00 |
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug |
|---|---|---|
| Preferred retail | $0.00 | $0.00 |
| Standard retail | $3.00 | $12.00 |
| Preferred mail order | $0.00 | $0.00 |
| Standard mail order | $3.00 | $12.00 |
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 | $0.00 | 20% | 35% | 26% |
| Standard retail | $1.00 | $4.00 | 20% | 35% | 26% |
| Preferred mail order | $0.00 | $0.00 | 20% | 35% | 26% |
| Standard mail order | $1.00 | $4.00 | 20% | 35% | 26% |
| 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 | $0.00 | 20% | 35% | N/A |
| Standard retail | $3.00 | $12.00 | 20% | 35% | N/A |
| Preferred mail order | $0.00 | $0.00 | 20% | 35% | N/A |
| Standard mail order | $3.00 | $12.00 | 20% | 35% | N/A |
Plan Documents
| Links to plan documents |
Missouri Counties Served
- Adair
- Andrew
- Atchison
- Audrain
- Barry
- Barton
- Bates
- Benton
- Bollinger
- Boone
- Buchanan
- Butler
- Caldwell
- Callaway
- Camden
- Cape Girardeau
- Carroll
- Carter
- Cass
- Cedar
- Chariton
- Christian
- Clark
- Clay
- Clinton
- Cole
- Cooper
- Crawford
- Dade
- Dallas
- Daviess
- Dekalb
- Dent
- Douglas
- Dunklin
- Franklin
- Gasconade
- Gentry
- Greene
- Grundy
- Harrison
- Henry
- Hickory
- Holt
- Howard
- Howell
- Iron
- Jackson
- Jasper
- Jefferson
- Johnson
- Knox
- Laclede
- Lafayette
- Lawrence
- Lewis
- Lincoln
- Linn
- Livingston
- Macon
- Madison
- Maries
- Marion
- Mcdonald
- Mercer
- Miller
- Mississippi
- Moniteau
- Monroe
- Montgomery
- Morgan
- New Madrid
- Newton
- Nodaway
- Oregon
- Osage
- Ozark
- Pemiscot
- Perry
- Pettis
- Phelps
- Pike
- Platte
- Polk
- Pulaski
- Putnam
- Ralls
- Randolph
- Ray
- Reynolds
- Ripley
- Saint Charles
- Saint Clair
- Saint Francois
- Saint Louis
- Saint Louis City
- Sainte Genevieve
- Saline
- Schuyler
- Scotland
- Scott
- Shannon
- Shelby
- Stoddard
- Stone
- Sullivan
- Taney
- Texas
- Vernon
- Warren
- Washington
- Wayne
- Webster
- Worth
- Wright