Walmart Mail ,PillPack  
N/A 30-day supply 90-day supply 30-day supply 90-day supply 
Tier 1: Preferred Generic $10 $30 $10 $30 
Tier 2: Generic $20 $60 $20 $60 
Tier 3: Preferred Brand $47 $141 $47 $141 
Tier 4: Non-Preferred 
Drug $100 $300 $100 $300 
Tier 5: Specialty Tier 33% N/A 33% N/A 
Generic drugs may be covered on tiers other than Tier 1and Tier 2so please check this plan's Humana 
Drug Guide to validate the specific tier on which your drugs are covered.