Pharmacy BenefitsRx4 Traditional replaces Rx3

RightSource Rx is now Humana

Pharmacy

Pay two co-pays for a 90 day supply at a participating pharmacy or mail order through Humana Pharmacy (after deductible on Tier 3 & Tier 4 medications).

Check our website for manufacturer programs that help with Rx costs!

Pharmacy BenefitsFAQ

• How can I look up my medication to see what Tier my medication will be for 2016?• The Rx 4 Traditional Drug list at:

2016 Traditional Rx 4 Drug List

Pharmacy BenefitsFAQ

• Why did my medication change from a Tier 1 Generic to a Tier 3 Generic for 2016?• Cost – Some generics are just as

expensive as name brands and the Rx 4 Traditional plan is based on the cost of the medication

Pharmacy BenefitsFAQ

• What if I am getting my medication cheaper at another pharmacy?• That is where you have to be your own

consumer and shop around. Some pharmacies may offer certain generics at $4 or $10 co-pays. Just like for 2015, if a drug cost is cheaper than your co-pay, you will pay the lesser cost. For example, if you are getting Levothyroxine a Tier 1 generic for $5/30 day supply, you will continue to pay $5 – not the $20/30 day supply co-pay for Tier 1 generic medication.

Pharmacy BenefitsFAQ

• Does Humana have a website where I can compare drug prices?• You can locate a pricing tool through

MyHumana.com. Once logged in to your MyHumana account, under Tools and Resources is a Drug Pricing tool where you can see estimated retail pricing, compare 3 pharmacies, or price with Humana Pharmacy.

Pharmacy BenefitsFAQ

• Does Humana have a website where I can search for drug alternatives that may be cheaper? YES!

• Drug List searchYou can look up a specific drug and view coverage details. You can also see possible generic equivalents and alternative medications.

• Humana Drug List Search

Pharmacy BenefitsFAQ

• What are the PCS preferred pharmacies?• CVS, WalMart, and Sams Club. You

can also receive a 90 day supply, saving yourself one month’s co-pay at these preferred pharmacies.

Pharmacy BenefitsFAQ

• What is this 30% penalty fee I keep hearing about for using a non-preferred pharmacy.• This will apply if you go outside the PCS

preferred pharmacy network of CVS, WalMart or Sams Club, and depends on the cost of the drug. If an outside pharmacy offers drugs at a cheaper advertised co-pay, you may not be charged the 30% penalty fee.

Pharmacy BenefitsFAQ

• How do I know where I can get my medication cheaper?

• Do a web search for various pharmacies and compare prices.

• For example, Winn Dixie, Publix, and WalMart to name a few offer FREE or $4 co-pays on generics.

Pharmacy BenefitsFAQ

• Winn Dixie has a list by health condition of $4 and $10 co-pays for some generic medications. Certain restrictions or fees may apply.

• https://www.winndixie.com/pharmacy/generics-list

Pharmacy BenefitsFAQ

• WalMart has a list by health condition of generic medications starting at $4 / 30 day supply. Certain restrictions or fees may apply.

• http://www.walmart.com/cp/4-Prescriptions/1078664

• Downloadable pdf http://i.walmartimages.com/i/if/hmp/fusion/genericdruglist.pdf

Pharmacy BenefitsFAQ

• Target has a list of generics starting at $4 / 30 day supply medications. Certain restrictions or fees may apply.

• http://www.target.com/pharmacy/generics#?lnk=lnav_ pharmacy services_4&intc=2660563|null

Pharmacy BenefitsFAQ

• Publix has a list of “FREE” medications. Certain restrictions or fees may apply.

• http://www.publix.com/pharmacy-wellness/pharmacy/pharmacy-services/free-medication-program

Pharmacy BenefitsFAQ

• What if I still can’t afford my medications?

• Discuss other options with your doctor – maybe they have samples

• Check out the www.needymeds.org website that has coupons and assistance programs