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Verified against CMS.gov · on April 2026 Plan ID: S5884-217 Cross-check on Medicare.gov →

Humana Premier Rx Plan (PDP)

Plan Year 2026
$173.60 /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 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
2 BOSULIF Bosutinib Brand Tier 5 0.3% coinsurance Details
3 Diazepam Brand Tier 3 $45.00 Details
4 POSACONAZOLE Posaconazole Brand Tier 5 0.3% coinsurance Details
5 Nystatin Brand Tier 2 $4.00 Details
6 SCEMBLIX asciminib Brand Tier 5 0.3% coinsurance Details
7 Rufinamide Brand Tier 5 0.3% coinsurance Details
8 KISQALI ribociclib Brand Tier 5 0.3% coinsurance Details
9 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 $45.00 Details
10 TAGRISSO osimertinib Brand Tier 5 0.3% coinsurance Details
11 Medroxyprogesterone Acetate Brand Tier 2 $4.00 Details
12 ISENTRESS RALTEGRAVIR Brand Tier 5 0.3% coinsurance Details
13 PredniSONE Brand Tier 1 $0.00 Details
14 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
15 Augtyro repotrectinib Brand Tier 5 0.3% coinsurance Details
16 Danazol Brand Tier 4 0.5% coinsurance Details
17 Ciprofloxacin Brand Tier 1 $0.00 Details
18 Dexamethasone Brand Tier 2 $4.00 Details
19 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.5% coinsurance Details
20 Chlorpromazine Hydrochloride Brand Tier 4 0.5% coinsurance Details

Showing 20 of 882 covered drugs.

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