To learn about formulary-related information for your Humana-covered patients, review
Medicare:
Commercial:
The commonly prescribed drug list is a quick reference guide for drugs in select therapeutic categories:
Prescriber quick reference guide
This reference guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals, precertification and claims. It also provides applicable phone, fax and web contact information.
Tools and resources
State-specific formulary plans
Each formulary is a list of covered drugs selected by Humana in consultation with a team of healthcare practitioners. It represents the prescription therapies believed to be a necessary part of a quality treatment program.
State-specific formulary plans
Florida
Florida Managed Medical Assistance (MMA) Program (Humana Medical Plan)
Florida’s Agency for Health Care Administration (AHCA) regularly updates the Florida Medicaid Preferred Drug List. Please see the link below for changes to the formulary for patients with Florida Medicaid coverage.
Illinois
Humana Gold Plus® Integrated Medicare-Medicaid in Illinois
Indiana
Humana Healthy Horizons in Indiana
The Indiana Health Coverage Programs pharmacy benefit manager houses the preferred drug list. Please see the link below to access information. Once on the page click on the preferred drug list link on the right-hand side for the most updated information.
Kentucky
Humana Healthy Horizons in Kentucky
Louisiana
Humana Healthy Horizons in Louisiana
Ohio
Humana Healthy Horizons in Ohio
Oklahoma
Humana Healthy Horizons in Oklahoma
South Carolina
Humana Healthy Horizons in South Carolina
Humana Drug List
Humana's lists of prescription drugs are developed and maintained by a medical committee consisting of physicians and pharmacists. Member drug coverage varies by plan. Certain drugs may have coverage limitations based on duration or dosage, or may require preapproval. Humana may add drugs to the list, change drugs on the list or remove drugs from the list at any time, which could affect the amount the member pays for prescription drugs.