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Verified against CMS.gov · on April 2026 Plan ID: S5884-176 Cross-check on Medicare.gov →

Humana Premier Rx Plan (PDP)

Plan Year 2026
$108.60 /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 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
2 Rufinamide Brand Tier 5 0.3% coinsurance Details
3 KISQALI ribociclib Brand Tier 5 0.3% coinsurance Details
4 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 $45.00 Details
5 TAGRISSO osimertinib Brand Tier 5 0.3% coinsurance Details
6 Medroxyprogesterone Acetate Brand Tier 2 $4.00 Details
7 ISENTRESS RALTEGRAVIR Brand Tier 5 0.3% coinsurance Details
8 PredniSONE Brand Tier 1 $0.00 Details
9 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
10 Augtyro repotrectinib Brand Tier 5 0.3% coinsurance Details
11 Danazol Brand Tier 4 0.5% coinsurance Details
12 Ciprofloxacin Brand Tier 1 $0.00 Details
13 Dexamethasone Brand Tier 2 $4.00 Details
14 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.5% coinsurance Details
15 Chlorpromazine Hydrochloride Brand Tier 4 0.5% coinsurance Details
16 Pilocarpine Hydrochloride Brand Tier 4 0.5% coinsurance Details
17 Warfarin Sodium Brand Tier 1 $0.00 Details
18 GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant Brand Tier 1 $0.00 Details
19 WELIREG belzutifan Brand Tier 5 0.3% coinsurance Details
20 Amoxapine Brand Tier 3 $45.00 Details

Showing 20 of 882 covered drugs.

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