We recently received great news regarding Effer-K’s formulary status with Humana. According to the PDE Process Consultant at Humana, Effer-K is a preferred pharmaceutical on Humana’s formulary.
Humana is the third-largest pharmacy benefit network in the United States. Patients who currently have Humana as a provider can get Effer-K at a low cost or co-pay. Humana has designated Effer-K to be a Tier-1 for all plans except the Wal-Mart plan, in which case it’s a Tier 2. (The Wal-Mart Tier 1 is reserved for $4 drugs.)
Here’s how the tiers work.
- Tier 1- This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
- Tier 2- This drug is available at a middle level co-pay. Most commonly, these are “preferred” (on formulary) brand drugs.
If you are not part of the Humana plan, do not be dismayed. We are always working with other health insurance companies to obtain more comprehensive coverage for Effer-K. Also – keep in mind that the cash price of Effer-K may be lower than your co-pay, so always ask about paying cash for Effer-K.