Humana Premier Rx Plan (PDP)
$113.70 /month
Monthly Premium
$0.00
Annual Deductible
882
Drugs Covered
0
States Served
Top Covered Drugs
Most popular medications covered by this plan, ordered by national search frequency. Click any drug to see exact copay, restrictions, and alternatives.
| # | Drug Name | Type | Tier | 30-Day Copay | |
|---|---|---|---|---|---|
| 1 | NOVOLOG insulin aspart | Brand | Tier 3 | $45.00 | Details |
| 2 | Linzess linaclotide | Brand | Tier 3 | $45.00 | Details |
| 3 | Diltiazem Hydrochloride | Brand | Tier 2 | $4.00 | Details |
| 4 | Depo-SubQ Provera medroxyprogesterone acetate | Brand | Tier 3 | $45.00 | Details |
| 5 | Clonidine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 6 | Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate | Brand | Tier 4 | 0.5% coinsurance | Details |
| 7 | SOMAVERT pegvisomant | Brand | Tier 5 | 0.3% coinsurance | Details |
| 8 | Tacrolimus | Brand | Tier 4 | 0.5% coinsurance | Details |
| 9 | Metoclopramide | Brand | Tier 1 | $0.00 | Details |
| 10 | Fiasp insulin aspart injection | Brand | Tier 3 | $45.00 | Details |
| 11 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | 0.5% coinsurance | Details |
| 12 | Clozapine | Brand | Tier 4 | 0.5% coinsurance | Details |
| 13 | RotaTeq Rotavirus Vaccine, Live, Oral, Pentavalent | Brand | Tier 1 | $0.00 | Details |
| 14 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 15 | Phenobarbital | Brand | Tier 3 | $45.00 | Details |
| 16 | RETEVMO selpercatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Medroxyprogesterone Acetate | Brand | Tier 2 | $4.00 | Details |
| 18 | Cobenfy xanomeline and trospium chloride | Brand | Tier 4 | 0.5% coinsurance | Details |
| 19 | Xalkori CRIZOTINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Venlafaxine Hydrochloride | Brand | Tier 2 | $4.00 | Details |
Showing 20 of 882 covered drugs.
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