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Verified against CMS.gov · on April 2026 Plan ID: S5884-204 Cross-check on Medicare.gov →

Humana Value Rx Plan (PDP)

Plan Year 2026
$20.80 /month
Monthly Premium
Among the lowest-premium plans in 2026
$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 Amoxapine Brand Tier 3 0.2% coinsurance Details
2 Ceftriaxone Sodium Brand Tier 4 0.3% coinsurance Details
3 KOSELUGO SELUMETINIB Brand Tier 5 0.3% coinsurance Details
4 Baclofen baclofen Brand Tier 2 $0.00 Details
5 LACTULOSE Lactulose Brand Tier 2 $0.00 Details
6 Dexamethasone Brand Tier 2 $0.00 Details
7 Amoxapine Brand Tier 3 0.2% coinsurance Details
8 Isosorbide Dinitrate Brand Tier 3 0.2% coinsurance Details
9 Fluphenazine Hydrochloride Brand Tier 4 0.3% coinsurance Details
10 Nefazodone Hydrochloride Brand Tier 4 0.3% coinsurance Details
11 WINREVAIR SOTATERCEPT-CSRK Brand Tier 5 0.3% coinsurance Details
12 Morphine Sulfate Brand Tier 4 0.3% coinsurance Details
13 Nefazodone Hydrochloride Brand Tier 4 0.3% coinsurance Details
14 VAQTA hepatitis A vaccine, inactivated Brand Tier 1 $0.00 Details
15 PredniSONE Brand Tier 2 $0.00 Details
16 Clozapine Brand Tier 4 0.3% coinsurance Details
17 Scopolamine scopolamine Brand Tier 4 0.3% coinsurance Details
18 ZYKADIA ceritinib Brand Tier 5 0.3% coinsurance Details
19 Pilocarpine Hydrochloride Brand Tier 4 0.3% coinsurance Details
20 Jardiance Empagliflozin Brand Tier 3 0.2% coinsurance Details

Showing 20 of 861 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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