Tier 1 Generic and Brand drugs · 30-day supply
- Preferred retail
- $0 copay
- Standard retail
- $5 copay
● CMS 2026 plan record
Humana Premier Rx Plan (PDP)
Standalone drug coverage
Medicare Prescription Drug Plan (PDP)
This plan covers prescription drugs. It is not Medicare Advantage and does not describe the member's hospital, medical, or supplemental coverage.
CMS-backed plan details
Drug plan at a glance
- Monthly premium
- $110.60 / month
- Part D deductible
- $0 / year
- Plan type
- Medicare Prescription Drug Plan
- Coverage area
- Wisconsin
- Employer-only
- No
- Part D star rating
- 3 out of 5
Plan-specific costs
Prescription drug coverage
Annual Part D deductible $0
This is the plan-level amount in the 2026 CMS Landscape file. Check official documents for which drugs and tiers are subject to it.
Tier 2 Generic and Brand drugs · 30-day supply
- Preferred retail
- $4 copay
- Standard retail
- $10 copay
Tier 3 Generic and Brand drugs · 30-day supply
- Preferred retail
- $45 copay
- Standard retail
- $47 copay
Tier 4 Generic and Brand drugs · 30-day supply
- Preferred retail
- 50% coinsurance
- Standard retail
- 50% coinsurance
Tier 5 Generic and Brand drugs · 30-day supply
- Preferred retail
- 33% coinsurance
- Standard retail
- 33% coinsurance
Contract Year 2026
How this drug plan works
- 1Deductible
For this plan, the CMS-listed deductible is $0. What you pay and which tiers apply are controlled by the plan documents.
- 2Initial coverage
After any applicable deductible, you pay the plan's copay or coinsurance for covered drugs. Pharmacy type, supply length, and formulary tier can change the price.
- 3Catastrophic coverage
In 2026, member cost sharing for covered Part D drugs becomes $0 after qualifying out-of-pocket spending reaches $2,100.
- +Extra Help
People with limited income and resources may qualify for Extra Help with Part D premiums, deductibles, and prescription costs. Eligibility and assistance are separate from this plan's standard benefit.
Source trail
Official CMS, Contract Year 2026
Plan identity and benefits come from CMS PBP data. Part D premium, deductible, coverage region, out-of-pocket threshold, and star rating come from the August 2026 Landscape release; county entries come from the August 2026 PDP contract service-area release. Quick-reference values should be confirmed in 2026 official plan documents.
Plan context
Where S5884-162-000 fits
- Full CMS plan ID
S5884-162-000- Contract
S5884- Base plan code
S5884-162- Segment
000- Carrier
- Humana
- Plan type
- Medicare Prescription Drug Plan
- Service area
- State of Wisconsin (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY)
44 additional service-area states listed in the CMS record.
County/service-area foundation
CMS service-area entries
These named entries come from a CMS contract-level service-area file. They describe the contract's published geography and must not be treated as proof that every segment has identical county-level rules.
- Aleutians East, AK
- Aleutians West, AK
- Anchorage, AK
- Bethel, AK
- Bristol Bay, AK
- Denali, AK
- Dillingham, AK
- Fairbanks North Star, AK
- Haines, AK
- Juneau, AK
- Kenai Peninsula, AK
- Ketchikan Gateway, AK
3217 additional service-area entries are retained in the data record.
Is S5884-162-000 a Medicare Advantage plan?
No. S5884-162-000 is a standalone Medicare Part D prescription drug plan (PDP). It covers prescription drugs and does not replace Original Medicare or describe separate medical coverage.
What is the Part D deductible for S5884-162-000?
CMS lists a $0 annual Part D deductible for S5884-162-000. Confirm which drugs and tiers are subject to it in the plan's official documents.
Where can I find the S5884-162-000 formulary or drug list?
Use the plan carrier's 2026 official formulary and search for each prescription by name, dose, and form. The CMS benefit data on this page describes tier costs but does not contain the plan's complete drug list.
Which pharmacies are in network for S5884-162-000?
Check the carrier's 2026 pharmacy directory before filling a prescription. Preferred and standard network pharmacies can charge different amounts, and the CMS data on this page does not list individual pharmacies.
Who can enroll in S5884-162-000?
Humana Premier Rx Plan (PDP) is not marked employer-only in CMS data. Its listed coverage area is Wisconsin; Medicare eligibility and the plan's enrollment rules still apply.
What is the monthly premium for S5884-162-000?
CMS lists a $110.60 monthly Part D premium for S5884-162-000. Extra Help or other assistance may change what an eligible member pays.
About this code
What S5884-162-000 identifies
S5884-162-000 is a Contract Year 2026 Medicare plan segment code. Searches written as S5884-162, S5884 162, or the compact full CMS ID S5884162000 refer to this plan or its base plan code.
Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.