Benefits, premiums and/or copayments/co-insurance may change on January 1, 2024. Summary of Benefits 
Humana Basic Rx Plan (PDP) S5884-138 
States of Indiana and Kentucky 2023 
Our service area includes the following state(s): Indiana, Kentucky. 
S5884_SB_PD_PDP_138000_2023_M Summary of Benefits S5884138000SB23 S5884138000SB23 Summary of Benefits 5S5884138000 
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(PDP) 
Find out more about the Humana Basic Rx Plan (PDP) -including the drug services it