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Verified against CMS.gov · on April 2026 Plan ID: S5884-218 Cross-check on Medicare.gov →

Humana Value Rx Plan (PDP)

Plan Year 2026
$158.90 /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 ELIQUIS apixaban Brand Tier 3 0.2% coinsurance Details
2 FARXIGA DAPAGLIFLOZIN Brand Tier 3 0.2% coinsurance Details
3 Enoxaparin Sodium Enoxaparin sodium Brand Tier 4 0.3% coinsurance Details
4 Vizimpro dacomitinib Brand Tier 5 0.3% coinsurance Details
5 REYATAZ ATAZANAVIR Brand Tier 4 0.3% coinsurance Details
6 ZEJULA niraparib Brand Tier 5 0.3% coinsurance Details
7 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
8 Chlorpromazine Hydrochloride Brand Tier 4 0.3% coinsurance Details
9 Thioridazine Hydrochloride thioridazine hydrochloride Brand Tier 3 0.2% coinsurance Details
10 Talzenna talazoparib Brand Tier 5 0.3% coinsurance Details
11 TAGRISSO osimertinib Brand Tier 5 0.3% coinsurance Details
12 Xtandi enzalutamide Brand Tier 5 0.3% coinsurance Details
13 Lorbrena lorlatinib Brand Tier 5 0.3% coinsurance Details
14 PODOFILOX Brand Tier 4 0.3% coinsurance Details
15 Fluphenazine Hydrochloride Brand Tier 4 0.3% coinsurance Details
16 RETEVMO selpercatinib Brand Tier 5 0.3% coinsurance Details
17 BOSULIF Bosutinib Brand Tier 5 0.3% coinsurance Details
18 Chlorhexidine Gluconate Brand Tier 1 $0.00 Details
19 ISENTRESS RALTEGRAVIR Brand Tier 3 0.2% coinsurance Details
20 Erlotinib Brand Tier 5 0.3% coinsurance Details

Showing 20 of 861 covered drugs.

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