Humana's Medicare Drug List

Medicare Updates

2010 Medicare Prior Authorization and Step Therapy Criteria

More about Humana's Drug List

The Drug List is a list of prescription drugs developed and maintained by a medical committee comprised of doctors and pharmacists. The type of coverage purchased by your employer may cause variances in drug coverage. Certain drugs may have coverage limitations based on duration or dosage or may require pre-approval.

If you have specific questions about a medication that does not appear on the list, please call the Customer Service number on the back of your member ID card.

Drugs on the Drug List may be added, changed, or deleted from the list at any time, which could affect the amount the member pays for prescription drugs.

Humana does not determine brand or generic status for the medications on our Drug List. A nationally recognized, contracted healthcare vendor determines whether a drug is classified as a generic or brand-name drug. One of the primary factors for determining the status of a drug is the price. If pricing for a particular drug changes – as determined by using the average wholesale price – the brand or generic status may also change.

Retail Pharmacy and mail-order rate information

If a retail pharmacy does agree to accept the mail-order reimbursement rate for an extended supply of medications, the enrollee should have no out-of-pocket payment differences. If a retail pharmacy does not agree to accept the mail-order reimbursement rate but has accepted an alternative retail/mail-order pharmacy rate for an extended supply of medications, the enrollee will be liable for any difference in charge.

* Web sites accessible from Humana.com may provide information about current medical procedures, services, pharmaceuticals, medical devices and other treatment and therapies that may not be covered under your health plan. The information on these sites does not necessarily represent the views of Humana, nor should the information be construed as an endorsement by Humana. The information on these Web sites is not a substitute for professional health care. For personal medical guidance, please consult your physician. If you have questions about your Humana health plan benefits, please call Humana Customer Service at the number found on your member ID card.