2027 Medicare Part D prescription drug plan
Humana Value Rx Plan (PDP): 2027 benefits and costs
Humana PDP
CMS plan ID: S5884-200-0 · Plan year: 2027
Humana Value Rx Plan (PDP) is a 2027 Medicare Part D prescription drug plan offered by Humana. It is listed in Louisiana.
2027 plan costs at a glance
- Organization
- Humana
- Plan organization
- Humana Insurance Co. & Humana Insurance Co. of NY
- Parent company
- Humana Inc.
- Plan type
- PDP
- Part D premium
- $38.60
- 2027 CMS Star Rating
2027 benefit summary
Prescription drug coverage
Costs shown are for initial coverage.
Drug deductible exceptions: Tier 1; Tier 2 are exempt from the deductible.
Preferred retail costs
| Drug tier | 30 days | 90 days |
|---|---|---|
| Tier 1Preferred Generic | $0.00 | $0.00 |
| Tier 2Generic | $0.00 | $0.00 |
| Tier 3Preferred Brand | 20% | 20% |
| Tier 4Non-Preferred Drug | 31% | Not listed |
| Tier 5Specialty Tier | 26% | Not listed |
Standard retail costs
| Drug tier | 30 days | 90 days |
|---|---|---|
| Tier 1Preferred Generic | $1.00 | $3.00 |
| Tier 2Generic | $4.00 | $12.00 |
| Tier 3Preferred Brand | 20% | 20% |
| Tier 4Non-Preferred Drug | 31% | Not listed |
| Tier 5Specialty Tier | 26% | Not listed |
Mail-order and other pharmacies
Out-of-network pricing: You pay the standard retail copay or coinsurance, plus any difference between the pharmacy’s billed charge and the amount the plan allows at a standard retail pharmacy.
Preferred mail order costs
| Drug tier | 30 days | 90 days |
|---|---|---|
| Tier 1Preferred Generic | $0.00 | $0.00 |
| Tier 2Generic | $0.00 | $0.00 |
| Tier 3Preferred Brand | 20% | 15% |
| Tier 4Non-Preferred Drug | 31% | Not listed |
| Tier 5Specialty Tier | 26% | Not listed |
Standard mail order costs
| Drug tier | 30 days | 90 days |
|---|---|---|
| Tier 1Preferred Generic | $1.00 | $3.00 |
| Tier 2Generic | $4.00 | $12.00 |
| Tier 3Preferred Brand | 20% | 20% |
| Tier 4Non-Preferred Drug | 31% | Not listed |
| Tier 5Specialty Tier | 26% | Not listed |
Long-term care pharmacy costs
| Drug tier | 31 days |
|---|---|
| Tier 1Preferred Generic | $1.00 |
| Tier 2Generic | $4.00 |
| Tier 3Preferred Brand | 20% |
| Tier 4Non-Preferred Drug | 31% |
| Tier 5Specialty Tier | 26% |
Out-of-network pharmacy costs
| Drug tier | 30 days |
|---|---|
| Tier 1Preferred Generic | $1.00 |
| Tier 2Generic | $4.00 |
| Tier 3Preferred Brand | 20% |
| Tier 4Non-Preferred Drug | 31% |
| Tier 5Specialty Tier | 26% |
Drug coverage rules and exceptions
Tier 1: Preferred Generic
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- Yes
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 2: Generic
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 3: Preferred Brand
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 4: Non-Preferred Drug
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 5: Specialty Tier
- Drugs included in this tier
- Part D Drugs Only
- Initial-coverage prices also apply to drugs exempt from the deductible
- Yes
Special cost protections apply to covered insulin and recommended adult vaccines.
Where this plan is offered
CMS lists this plan in 1 state or territory. Availability can vary by county and ZIP code.