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    Humana tier 3 drug list. Requests are reviewed and approved on a case-by-case basis.

    Humana tier 3 drug list The Humana Medicare Employer Plan covers both brand-name drugs and generic drugs. This is an all-inclusive l Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs The drugs on the List of Covered Drugs that starts on page 13, are the drugs covered by Humana Gold Plus B2. This document includes a partial Drug List (formulary) for our plan which is current as of January 1, 2025 •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. The amount of . Many Tier 3 drugs have lower-cost $$$ Your highest cost options in Tiers 1 or 2. 1, DRUG LIST Updated 12/2022 - 3 • Prior authorization (PA): Some medicines need to be approved in advance to be covered under your pharmacy plan. Your plan benefits won't cover this medicine without prior authorization. • Tier 3 – This tier includes specialty drugs and others that are the most expensive. The amount In this document, we use the terms Drug List and formulary to mean the same thing. or Preferred Generic, and at a lower cost to you than Tier 3 Non-Preferred Drug •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana Group Medicare Preferred Drug List Humana Healthy 1ST TIER UNILET COMFORTOUCH LANCET 28 GAUGECE 1 1ST TIER UNILET COMFORTOUCH LANCET 30 GAUGECE 1 2-IN-1 LANCET DEVICE 30 GAUGECE 1 24 hour nasal allergy 55 mcg spray aerosol 1 3-day vaginal 2 % creamCE 1 abacavir 20 mg/ml oral solution 1 QL(960 per 30 days) Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Medicare Employer Plan pays part of the costs for your covered drugs 2025 HUMANA ABBREVIATED FORMULARY UPDATED 09/2024 - 3 PDG010 Welcome to Humana! When this Drug List (Formulary) refers to “we,” “us”, or “our,” it means Humana. Blank Page. Sign in to MyHumana to search the list of drugs covered by your specific Humana Medicare plan and to price your medication. A formulary is the entire list of covered drugs or medicines selected by the Humana Medicare Employer Plan. 2024 HUMANA FORMULARY UPDATED 12/2024 - 3 PDG021 Welcome to Humana! Note to existing members: This formulary has changed since last year. For your drug information: You can go to Humana. The amount of 2024 Humana Rx Formulary Drug List This is a list of covered medicines. Use Tier 2 drugs instead of Tier 3 drugs $$ Your mid-range to help reduce your out-of-pocket costs. The medicines in the Drug List are covered by 1ST TIER UNIFINE PENTIPS 31 GAUGE X 3/16" NEEDLEMM 2 1ST TIER UNIFINE PENTIPS 31 GAUGE X 5/16" NEEDLEMM 2 •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Plan pays part of the costs for your covered drugs and you pay part of the costs, too. The amount of 2021 Humana Inc Rx4 Drug List This is a list of covered medicines. The amount of •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Group Medicare Plan pays part of the costs for your covered drugs and you pay part of the Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. The •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. Generally, the lower the tier, the less you pay. Section 3. The type of plan can be found at the top of your Evidence of Coverage. preferred brand name Use tier 2 drugs instead of tier 3 to help reduce your out-of-pocket costs. What is the Drug List? The Drug List is a list of covered medicines selected by Humana. 1, “The ‘Drug List’ tells which Part D drugs are covered” if you have a Medicare Advantage plan. Please note: Some plans may have 2 or 3 tiers, while others may •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. DRUG . The amount of 2025 HUMANA ABBREVIATED FORMULARY UPDATED 09/2024 - 3 PDG010 Welcome to Humana! When this Drug List (Formulary) refers to “we,” “us”, or “our,” it means Humana. DRUG LIST Updated 12/2023 - 3 • Prior authorization (PA): Some medicines need to be approved in advance to be covered under your pharmacy plan. Tier 3 $$$ Higher-cost . New drugs are added or removed as needed. 304 64-bit) /CreationDate (12/15/2022 14:27:33) /Author (Humana Inc. 1-866-315-7587, •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. For an updated •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. Humana Drug List, also called “formulary,” lists the most widely prescribed drugs covered by Humana and is updated regularly by doctors and pharmacists in our medical committee. 1ST TIER UNIFINE PENTIPS PLUS 31 GAUGE X 3/16" NEEDLEMM,HP 1 1ST TIER UNIFINE PENTIPS PLUS 31 GAUGE X 5/16" NEEDLEMM,HP 1 Welcome to Humana-The Humana Drug List (also known as a formulary) is effective on January 1st unless otherwise specified. To view the most complete and current Drug Guide information online, visit . The amount of Tier 3 on a 3-Tier plan is for drugs with the highest costs. Tier 2 $$ Mid-range cost. The amount of •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. skip to main. If you have a Prescription Drug Plan (PDP), please see the Evidence of Coverage, Chapter 3, Section 3. The Humana Medicare Employer Plan worked with a team of doctors and pharmacists to 2 - DRUG LIST Updated 12/2020 Welcome to Humana-The Humana Drug List (also known as a formulary) is effective on January 1st unless otherwise specified. The amount of 2025 HUMANA FORMULARY UPDATED 09/2024 - 3 PDG015 Welcome to Humana! When this Drug List (Formulary) refers to “we,” “us”, or “our,” it means Humana. Medications listed in the “Medications Tier 3, 4” column are covered, but at a higher member The commonly prescribed drug list is a quick reference guide for prescription drugs in select therapeutic categories that will not be covered in 2025 and their available formulary alternatives. Can the Preferred Drug List change? Yes. Name-brand drugs may be on a higher tier with higher copayments, coinsurance or deductibles. com and sign in to MyHumana. The amount of •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Medicare Employer Plan pays part of the costs for your covered drugs and you pay part of the Humana Formulary List of covered drugs or "Drug List" Updated 03/01/2025. The amount of •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Plan pays part of the costs for your covered drugs and you pay part of the costs, too. The amount example, with medications in Tier 3 (non-preferred medications) and Tier 2 (preferred brand medications), you and your provider can ask Humana to make an exception to allow the Tier 3 or Tier 2 medication to be moved to a lower tier so that you pay less for it. Tier 1 drugs. The amount of Humana Formulary List of covered drugs. Requests are reviewed and approved on a case-by-case basis. For example, we could: Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs •Tier 6 - Select Care Drugs: Select generic and brand drugs used to treat certain chronic conditions Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs Prescription drugs are grouped into one of five tiers. Tier 1 - Preferred, low-cost generic drugs; Tier 2 - Non-preferred and low-cost generic drugs; Tier 3 - Preferred brand-name and some higher-cost generic drugs Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs •Tier 6 - Select Care Drugs: Select generic and brand drugs used to treat certain chronic conditions (PDP), please see the Evidence of Coverage, Chapter 3, Section 3. The amount of Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs •Tier 6 - Select Care Drugs: Select generic and brand drugs used to treat certain chronic conditions What are generic •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Group Medicare Plan pays part of the costs for your covered drugs and you pay part of the •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Group Medicare Plan pays part of the costs for your covered drugs and you pay part of the •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. The amount of Each medication is placed on one of 5 different drug tiers. cost Tier 3 Higher cost brands. For these medicines to be covered, your health care provider must get approval from Humana. brand name and some generics Many tier 3 drugs have lower-cost Prescription Drug Summary of Benefits Humana Group Medicare Advantage Plan Rx 413 2025. •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. There may be generic and brand-name drugs, as well as Medicare-covered drugs, in each of the tiers. The medicines in the Drug List are covered by 1ST TIER UNIFINE PENTIPS PLUS 31 GAUGE X 1/4" NEEDLEMM 3 1ST TIER UNIFINE PENTIPS PLUS 31 GAUGE X 3/16" NEEDLEMM 3 2 DRUG LIST Updated 12/2023 - 3 • Prior authorization (PA): Some medicines need to be approved in advance to be covered under your pharmacy plan. 1, Tier 1 drugs. 1ST TIER UNIFINE PENTIPS 32 GAUGE X 5/32" NEEDLEMM 3 1ST TIER UNIFINE PENTIPS PLUS 29 GAUGE X 1/2" NEEDLEMM 3 DRUG LIST Updated 12/2022 - 3 • Prior authorization (PA): Some medicines need to be approved in advance to be covered under your pharmacy plan. This is a comprehensive list, but is subject to change throughout the year. When it refers to “plan” or “our plan,” it means Humana. It tells you which prescription drugs and over-the-counter drugs and items are covered by Humana Gold Plus Learn more about prescription drug information for all Humana members including a drug list search tool for providers. For your drug information: Visit Humana. This document contains information about the medicines we cover in this plan. The terms formulary and Drug List may be used interchangeably throughout communications regarding changes to your pharmacy benefits. This is an all-inclusive l • For discussion of drug types, please see the Evidence of Coverage, Chapter 5, Section 3. 1, “The ‘Drug List’ tells which Part D drugs are covered” for Medicare Advantage plans (MA-PD). This document contains information about the medicines covered in this plan. This document is called the List of Covered Drugs (also known as the Drug List). Prescription drugs are grouped into one of four tiers. ) /Title (2022 Three Tier Traditional Drug List) /Subject (2021 Prescription Drug List) /Keywords (2021 Prescription Drug List) >> endobj % PDF Font (F21) % FullName (Frutiger) % FamilyName (Frutiger) % Font Version (Macromedia •For discussion of drug types, please see the Evidence of Coverage, Chapter 5, Section 3. This page is left intentionally blank. If you have questions, please call . 1, The Humana Drug List (also known as a formulary) is a list of covered medicines selected by Humana. This is an all-inclusive list and may change throughout the year. 1, "The 'Drug List' tells which Part D drugs are covered". Humana covers both brand-name drugs and generic drugs. 1ST TIER UNIFINE PENTIPS 31 GAUGE X 3/16" NEEDLEMM 1 1ST TIER UNIFINE PENTIPS 31 GAUGE X 5/16" NEEDLEMM 1 2 - DRUG LIST Updated 06/2021 Welcome to Humana-The Humana Drug List (also known as a formulary) is effective on January 1st unless otherwise specified. Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs Welcome to Humana-The Humana Drug List (also known as a formulary) is effective on January 1st unless otherwise specified. Drug tier Includes Helpful tips Tier 1 $ Lower-cost. Please review this document to make sure Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs %PDF-1. The Humana Drug List (also known as a formulary) is a list of covered medicines selected by Humana. generics and some brand name Use tier 1 drugs for the lowest out-of-pocket costs. 3-tier plan: Covered prescription drugs are assigned to 1 of 3 different levels with corresponding copayment or coinsurance amounts. Generic or brand drugs that the plan offers at a higher •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Medicare Employer Plan pays part of the costs for your covered drugs and you pay part of the •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Medicare Employer Plan pays part of the costs for your covered drugs and you pay part of the •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs The Humana Drug List (also known as a formulary) is a list of covered medicines selected by Humana. To identify commonly prescribed drugs in each tier, see the Prescription Drug Humana Medicare Advantage plans that offer prescription drug coverage may use a tiered drug list, which means that less expensive medications on a lower tier may be covered with lower Prescription drugs are grouped into one of five tiers. This document includes a Drug List (formulary) for our plan which is current as of January 1, 2025. 1ST TIER UNIFINE PENTIPS 31 GAUGE X 3/16" NEEDLEMM 2 1ST TIER UNIFINE PENTIPS 31 GAUGE X 5/16" NEEDLEMM 2 DRUG LIST Updated 12/2024 - 3 • Prior authorization (PA): Some medicines need to be approved in advance to be covered under your pharmacy plan. Or, use our search tool Medications listed in the "Medications Tier 1, 2" column are covered and are the most affordable. Tier 1 is the least-expensive option and Tier 5 is the most expensive. Prescription drugs are grouped into one of five tiers. This is a 1ST TIER UNIFINE PENTIPS 32 GAUGE X 5/32" NEEDLEMM 3 1ST TIER UNIFINE PENTIPS PLUS 29 GAUGE X 1/2" NEEDLEMM 3 2. A generic drug A licensed insurance agent can help you review the Humana drug list ­– Compare plans by calling (844) 581-1652. Does the Drug List ever change? Yes, and Humana Gold Plus Integrated must follow Medicare and Medicaid rules when making changes. 7 1 0 obj /Creator (OpenText Exstream Version 9. The amount of •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Medicare Employer Plan pays part of the costs for your covered drugs and you pay part of the The Humana Drug List (also known as a formulary) is a list of covered medicines selected by Humana. Ask your doctor if they could work for you. Non-Preferred drugs •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs A Humana drug formulary is divided into five different tiers of drugs and each tier may be covered differently under each Humana PDP plan. 2025 HUMANA FORMULARY UPDATED 03/01/2025 - 3 Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs Section 3. TZ Insurance Solutions agents are proud to sell Humana plans. The medicines in the Drug List are covered by Humana •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. You will be notified by letter if a drug you take is removed from the list. 1, “The ‘Drug List’ tells which Part D drugs are covered” if you have a Medicare The Humana Drug List (also known as a formulary) is a list of covered medicines selected by Humana. 3 Summary of Benefits 2025 identify commonly prescribed drugs in each tier, see the Prescription Drug Guide/Formulary. DRUG 4. You can find what tier a drug is on by checking your •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. We may add or remove drugs on the Drug List during the year. 1ST TIER UNIFINE PENTIPS PLUS 31 GAUGE X 1/4" NEEDLEMM 3 1ST TIER UNIFINE PENTIPS PLUS 31 GAUGE X 3/16" NEEDLEMM 3 2. This document includes a partial Drug List (formulary) for our plan which is current as of January 1, 2025 Tier 2 Preferred brands. The levels are organized as follows: Explore ways to find Humana’s list of covered drugs and their costs. If your part D coverage features 4 tiers, it includes Tiers 1, 2 and 3 and adds a 4th Tier for high-cost, mostly brand-name A formulary is the entire list of covered drugs or medicines selected by the Humana Medicare Employer Plan. 1, "The 'Drug List' tells which Part D drugs are •Tier 3 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 2 Preferred Brand drug •Tier 4 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? The Humana Medicare Employer Plan pays part of the costs for your covered drugs and you pay part of the The commonly prescribed drug list is a quick reference guide for drugs in select therapeutic categories that will not be covered in 2024 and their available formulary comprehensive prescription drug guide will display every covered drug’s tier placement and any restrictions that may apply. 5. 2 - DRUG LIST Updated 09/2023 • The fourth column lists the drug tier level which will depend on if the product has been classified as a generic drug, a preferred brand drug, a non-preferred •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. Requesting a tier exception •Tier 4 - Non-Preferred Drug: Generic or brand drugs that the plan offers at a higher cost to you than Tier 3 Preferred Brand drugs •Tier 5 - Specialty Tier: Some injectables and other high-cost drugs How much will I pay for covered drugs? Humana pays part of the costs for your covered drugs and you pay part of the costs, too. skn lypkspi niigw zmozr fkkyldqp srmexx ndd qpul xvac wudeyi gjldwh uyptip ncenjm haeo epgl