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Verified against CMS.gov · on April 2026 Plan ID: S5884-181 Cross-check on Medicare.gov →

Humana Value Rx Plan (PDP)

Plan Year 2026
$54.40 /month
Monthly Premium
$601.00 Annual Deductible
861 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 Fluphenazine Hydrochloride Brand Tier 4 0.3% coinsurance Details
2 Nefazodone Hydrochloride Brand Tier 4 0.3% coinsurance Details
3 WINREVAIR SOTATERCEPT-CSRK Brand Tier 5 0.3% coinsurance Details
4 Morphine Sulfate Brand Tier 4 0.3% coinsurance Details
5 Nefazodone Hydrochloride Brand Tier 4 0.3% coinsurance Details
6 VAQTA hepatitis A vaccine, inactivated Brand Tier 1 $0.00 Details
7 PredniSONE Brand Tier 2 $0.00 Details
8 Clozapine Brand Tier 4 0.3% coinsurance Details
9 Scopolamine scopolamine Brand Tier 4 0.3% coinsurance Details
10 ZYKADIA ceritinib Brand Tier 5 0.3% coinsurance Details
11 Pilocarpine Hydrochloride Brand Tier 4 0.3% coinsurance Details
12 Jardiance Empagliflozin Brand Tier 3 0.2% coinsurance Details
13 Warfarin Sodium Brand Tier 1 $0.00 Details
14 Venclexta Venetoclax Brand Tier 5 0.3% coinsurance Details
15 Cilostazol Brand Tier 2 $0.00 Details
16 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
17 Paxlovid nirmatrelvir and ritonavir Brand Tier 3 0.2% coinsurance Details
18 Metoclopramide Brand Tier 1 $0.00 Details
19 Fetzima LEVOMILNACIPRAN HYDROCHLORIDE Brand Tier 4 0.3% coinsurance Details
20 Fluvoxamine maleate Brand Tier 3 0.2% coinsurance Details

Showing 20 of 861 covered drugs.

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