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Question: I am considering changing my prescription drug coverage to the Humana Walmart-Preferred Rx Plan and I was wondering if I can only go to Walmart for my prescriptions?

Answer:

 

No, you do not have to use Walmart as your only pharmacy.  The Humana Medicare Part D plans include over 50,000+ pharmacies in their network.

However, you may pay much more for your prescription medications if you use a pharmacy other than Walmart, Neighborhood Market Pharmacies, Sam’s Club or Right Source (Mail Order).

As the Humana website states:  “The pharmacy used to price your drugs is a part of Walmart pharmacy network. If you fill a drug at non-Walmart pharmacy, you may pay more.

Again: Walmart, Neighborhood Market Pharmacies, Sam’s Club and Right Source (Mail Order) are the only “Preferred Pharmacies” for the Humana Walmart-Preferred Rx prescription drug plan.  According to Humana, there are over 4,000 Preferred Pharmacies across the country.

You can use other pharmacies in the Humana Pharmacy Network, but the cost-sharing amount is much higher for drugs purchased outside of a Preferred Pharmacy.  Here is an example from the Medicare website showing the different cost-sharing for the Humana Walmart-Preferred Rx plan in New York (as well as all other States and Puerto Rico):

 

 

 

 

2012

Copay/Coinsurance Amounts 

 

PHARMACY TYPE

TIER NAME

 

RETAIL (30-day Supply)

MAIL-ORDER (90-day Supply)

 

Preferred Pharmacies

 

Tier: 1

 

$1.00

 

$0.00

 

Tier: 2

 

$5.00

 

$0.00

 

Tier: 3

 

20%

 

20%

 

Tier: 4

 

35%

 

35%

 

Network Pharmacies

 

Tier: 1

 

$10.00

 

$30.00

 

Tier: 2

 

$12.00

 

$36.00

 

Tier: 3

 

37%

 

20%

 

Tier: 4

 

40%

 

35%

         

 

 
 

Please remember, this Medicare Part D plan also has a $320 Initial Deducatible.  This means that you will pay the first $320 of you prescription costs - before the coverage of your Part D plan begins.  If you take only very inexpensive generic medications (spending under $25 per month on generic medications) you may not ever meet your Medicare Part D plan's Initial Deductible.

 

If you would like to see if your medications are covered by this prescription drug plan, you can download the Humana Walmart-Preferred formulary by first choosing your state from the list here and then scroll down to the Humana plan section: (http://www.q1medicare.com/PartD-Medicare-PartD-Overview-by-State.php).

As reference, here is a link to the 2012 Florida Humana Walmart-Preferred Rx Plan formulary:
http://www.q1medicare.com/2012/content/includes/pdpPlanMaterials/Humana-2012_Walmart-PreferredFormulary_11.pdf


 

2011 For reference:

 

 

 

2011 Humana Walmart-Preferred

Copay/Coinsurance Amounts 

 

PHARMACY TYPE

TIER NAME

 

RETAIL (30-day Supply)

MAIL-ORDER (90-day Supply)

 

Preferred Pharmacies

Tier: 1

$2.00

$0.00

Tier: 2

$5.00

$0.00

Tier: 3

20%

20%

Tier: 4

35%

35%

 

Network Pharmacies

Tier: 1

$10.00

$30.00

Tier: 2

$10.00

$30.00

Tier: 3

37%

20%

Tier: 4

50%

35%

         

 




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