Manuals & Forms
When you want to access a form, check a manual, or review a rejection code, you’ll find it helpful to have all these materials in one place.
Download these helpful reference materials
Payer sheets, manuals, ethics information, enrollment forms, manuals, rejection code descriptions – when you need this kind of information, you don’t want to go looking for it. That's why they're all here for your convenience.
Payer Sheets
- MTM Pharmacy Payer Sheet
- View the NCPDP Version 5.1 Payer Sheet.
- (98 KB) Download PDF
- English
Provider Manual, Ethics Document, Part D Enrollment Form, and Rejection Codes
- Pharmacy Provider Manual
- Download a guide for Humana’s Pharmacy Providers.
- (7.3 MB) Download PDF
- English
- Principles of Business Ethics Compliance and Fraud Prevention Guide
- Download our Principles of Business Ethics for doctors, pharmacists, and others.
- (112 KB) Download PDF
- English
- Prescription Drug Claim Form
- General form used to submit pharmacy benefits claims.
- (62 KB) Download PDF
- English
- MTM Implementation Manual
- Guide detailing Humana's MTM program.
- (1691 KB) Download PDF
- English
- CarePlus Pharmacy Provider Manual Supplement
- Download a supplement with CarePlus-specific information.
- (0.9 MB) Download PDF
- English
- Medicare Part D Enrollment Form
- Provide this form to patients and customers who wish to enroll in a Medicare Part D Plan.
- (478 KB) Download PDF
- English
- NCPDP Rejection codes
- View descriptions for all NCPDP rejection codes.
- (24 KB) Download PDF
- English
- Electronic Prescribing Information for Pharmacies
- Download the following resource regarding electronic prescribing for pharmacies
- (121 KB) Download PDF
- English
- Long-term Care Access to Care
- Please complete this form to comply with CMS policies.
- (35 KB) Download PDF
- English
