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Prior Authorization
Certain drugs require prior authorization (PA) or a medical exception for coverage. If the drug requires this step, a member’s doctor will need to request and receive approval from Humana before the drug may be covered by their insurance plan. |
Request Submission
Doctors can submit their requests to the Humana Clinical Pharmacy Review (HCPR) through the following methods.
Online Requests:
Requests can be submitted in real-time, 24-hours a day using Humana’s Online Prior Authorization Tool. Log in to use our Online PA Tool. |
Submit Requests Online
Providers can submit PA requests by using our Online PA Tool.
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Phone & Fax Requests:
| Hours: |
8:00 a.m. – 9:00 p.m. EST, Monday-Friday. |
| Phone Requests: |
1-800-555-CLIN (2546) |
| Fax Requests: |
Complete the forms below and fax to 1-877-486-2621 |
General Fax Form
If a drug does not have a custom form below, please use the General Fax Form or Submit online.
General Fax Form
 (44 KB) Download PDF
English
Note: These documents are in Portable Document Format (PDF) and require Adobe Reader for viewing and printing. To get the plug-in, visit Adobe's Website to Download Adobe Reader
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