Medication Types
General Questions
Benefit Stage Progression
100

This can be mistaken in appearance for a tablet. Unlike most tablets, these are designed to be dissolved in the mouth and contain a sugar flavoring for taste.  

What is Lozenges?

100

This type of prescription medication is not covered by Humana

What is Experimental drugs?

100

 This is all payments made for their covered Part D drugs. The first bucket is the member's?

What is Total Drug Spend?

200

These medications are common in the retail setting are vials and pre-filled syringes. Hospitals and pharmacies that dispense to care facilities utilize a third type called a cartridge or ampule; a sealed glass capsule containing a liquid

What is Injectable medications?

200

Participating pharmacies can be searched using which link in CRM

What is Find Care Pharmacy?

200

The other bucket is this. This is the total amount paid solely by the member for any deductible, copayments, or coinsurance.

What is True Out of Pocket (TrOOP)?

300

This is confirmed in RxConnect Pro

What is prescription drug benefit information?

400

This is what pays first if the member only has one insurance.

What is primary carrier?

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