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Humana - Guidance when you need it most

Medications for Medicare Members

We want you to take advantage of the many benefits, programs, and services that come with your Humana prescription drug coverage. This page links you to pharmacy resources for members with a Humana Prescription Drug Plan or a Medicare Advantage plan with prescription drug coverage.

Information Medicare Members Look for Most

Prescription medications and Medicare

Generic Medications

Find out how you may be able to save money on prescription drugs with Humana's Generic Drug Guide.

Prescription Drugs

Medicare Drug List

Use our online drug coverage search or get a printable version of Humana's Medicare Drug List.

Exceptions & Appeals

Exceptions and Appeals

Get information about how to request a coverage determination for a prescription drug with Exceptions and Appeals.

Prescription medications and Medicare

Prior Authorization

View details about approval in advance for coverage of certain drugs – called Prior Authorization for Medications.

Explore MyHumana

MyHumana, Your Personal Website

To find out how you can view details about your Medicare plan and set your communication preferences, Explore MyHumana.

RightSourceRx

Mail-order Medication Services

Enjoy convenience and potential savings with Humana's preferred prescription home-delivery service by mail, RightSourceRx.com

Getting the Most from Your Pharmacy Benefits

To find out how Humana helps Medicare members get the most value from their prescription drug coverage, explore the links at right.

Over-the-Counter Medications

For details on how Medicare members can get discounts on over-the-counter (OTC) medications, download the order form at right or go to Saving Money.

Over-the-Counter Order Form
(396 KB) Download PDF
English

Resources & Tools

Specialty Drug Benefit

Find out what specialty drugs are and explore your Medicare plan's specialty drug benefit.

Rx Calculator

Log in to MyHumana for our online tool that helps you estimate monthly drug costs and links you to details about coverage, usage, dosage, interactions, and more.

Drug Pricing

Log in to MyHumana to find out if your plan covers a certain prescription drug and view estimated prices, based on the pharmacy you select.

Medicare Terms

Find definitions for common Medicare terms and concepts in our Medicare Glossary from Humana

Best Available Evidence

View resources on the Centers for Medicare & Medicaid Website about Best Available Evidence (BAE), a policy about cost-sharing for low-income beneficiaries.

Managing Your Health Information Online

Protect the privacy of your health information by keeping track of it on your secure Website. Log in to MyHumana today and start using My Health Record.

Explore MyHumana

View details about your Medicare plan and set your communication preferences with Humana's secure member Website. Log in or register today!

Pharmacy Coverage Policies

Concurrent DUR Quality Assurance
(23 KB) Download PDF
English
Retrospective DUR Quality Assurance
(24 KB) Download PDF
English
2007 Out-of-Network Pharmacy Access Policy
(40 KB) Download PDF
English
2008 Out-of-Network Pharmacy Access Policy
(0.05 MB) Download PDF
English

Humana's Medicare pharmacy network contains more than 54,000 participating pharmacies. Humana's Medicare pharmacy network exceeds all CMS accessibility requirements.

  • 97 percent of urban members have access to one pharmacy within two miles (required 90 percent)
  • 99 percent of suburban members have access to one pharmacy within 5 miles (required 90 percent)
  • 97 percent of rural members have access to one pharmacy within 15 miles (required 70 percent)

Links to various other Websites from this site are provided for your convenience only and do not constitute or imply endorsement by Humana of these sites, any products or services described on these sites, or of any other material contained therein. Humana disclaims responsibility for their content and accuracy.

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Printable Health Insurance Page From Humana