Humana Premier Rx Plan (PDP)
$119.20 /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 | Ceftriaxone Sodium | Brand | Tier 4 | 0.5% coinsurance | Details |
| 2 | KOSELUGO SELUMETINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 3 | Rufinamide | Brand | Tier 4 | 0.5% coinsurance | Details |
| 4 | bexarotene | Brand | Tier 5 | 0.3% coinsurance | Details |
| 5 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 6 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 7 | Dextrose and Sodium Chloride | Brand | Tier 2 | $4.00 | Details |
| 8 | Spiriva Respimat tiotropium bromide inhalation spray | Brand | Tier 3 | $45.00 | Details |
| 9 | Ampicillin and Sulbactam | Brand | Tier 4 | 0.5% coinsurance | Details |
| 10 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 1 | $0.00 | Details |
| 11 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 12 | Clotrimazole clotrimazole | Brand | Tier 2 | $4.00 | Details |
| 13 | TESTOSTERONE ENANTHATE | Brand | Tier 3 | $45.00 | Details |
| 14 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 15 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 3 | $45.00 | Details |
| 16 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 1 | $0.00 | Details |
| 17 | NOVOLOG insulin aspart | Brand | Tier 3 | $45.00 | Details |
| 18 | Linzess linaclotide | Brand | Tier 3 | $45.00 | Details |
| 19 | Diltiazem Hydrochloride | Brand | Tier 2 | $4.00 | Details |
| 20 | Depo-SubQ Provera medroxyprogesterone acetate | Brand | Tier 3 | $45.00 | Details |
Showing 20 of 882 covered drugs.
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