Humana Walmart Value Rx Plan (PDP)
S5884 - 191 - 0
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Humana Walmart Value Rx Plan (PDP) is a Medicare Part D Prescription Drug Plan by Humana.
This page features plan details for 2024 Humana Walmart Value Rx Plan (PDP) S5884 – 191 – 0.
IMPORTANT: This page has been updated with plan and premium data for 2024. Some plan details may still reflect 2023 plan data, be missing, or be inaccurate until enrollment starts Oct 15. Contact plan for details.
Locations
Humana Walmart Value Rx Plan (PDP) is offered in the following locations.
Plan Overview
Humana Walmart Value Rx Plan (PDP) offers the following coverage and cost-sharing.
| Insurer: | Humana |
| Drugs Covered: | Yes |
Please Note:
- This plan does not charge an annual deductible for all drugs. The $505 annual deductible only applies to drugs on certain tiers.
Ready to sign up for Humana Walmart Value Rx Plan (PDP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 TTY 711.
Mon-Fri 8am-9pm EST | Sat 8am-8pm EST.
Drug Info
Humana Walmart Value Rx Plan (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
| Drug Deductible: | $545.00 |
| Initial Coverage Limit: | $4,660.00 |
| Catastrophic Coverage Limit: | $7,400.00 |
| Drug Benefit Type: | Enhanced |
| Gap Coverage: | Yes |
| Formulary Link: | Formulary Link |
Part D Premium Reduction
The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs. The table below shows how the LIS impacts the Part D premium of this plan.| Part D | LIS 25% | LIS 50% | LIS 75% | LIS Full |
|---|---|---|---|---|
| $40.10 | $23.30 | $16.10 | $8.80 | $5.50 |
Initial Coverage Phase
After you pay your $545.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Once you reach that amount, you will enter the next coverage phase.
30 Day
60 Day
90 Day
30 Day
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1 (Preferred Generic) | $1.00 copay | $10.00 copay | $1.00 copay | $10.00 copay |
| 2 (Generic) | $2.00 copay | $20.00 copay | $2.00 copay | $20.00 copay |
| 3 (Preferred Brand) | 16% | 21% | 16% | 21% |
| 4 (Non-Preferred Drug) | 40% | 48% | 40% | 48% |
| 5 (Specialty Tier) | 25% | 25% | 25% | 25% |
60 Day
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1 (Preferred Generic) | ||||
| 2 (Generic) | ||||
| 3 (Preferred Brand) | ||||
| 4 (Non-Preferred Drug) | ||||
| 5 (Specialty Tier) |
90 Day
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1 (Preferred Generic) | $3.00 copay | $30.00 copay | $3.00 copay | $30.00 copay |
| 2 (Generic) | $6.00 copay | $60.00 copay | $6.00 copay | $60.00 copay |
| 3 (Preferred Brand) | 16% | 21% | 16% | 21% |
| 4 (Non-Preferred Drug) | 40% | 48% | 40% | 48% |
| 5 (Specialty Tier) |
Gap Coverage Phase
After your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00, you will pay no more than the amounts below for any drug tier until you reach $7,400.00.
30 Day
90 Day
30 Day
90 Day
| Tier | Cost |
|---|---|
| All other tiers (Generic) | 25% |
| All other tiers (Brand-name) | 25% |
Catastrophic Coverage Phase
In 2024, the catastrophic threshold is $8,000. Also, the 5% coinsurance requirement for Part D enrollees has been eliminated. We will have the exact threshold of this plan by Oct 15th when the final data is released for 2024.
Ready to sign up for Humana Walmart Value Rx Plan (PDP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 TTY 711. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST.