MYB-ACT: Maximize Your Benefit-
Authorization for Continued Therapy
For certain classes of drugs,
Humana will implement a lower cost alternative for members in 2005.
This effort will affect members who fill or refill a prescription
for drugs upon their Humana plan renewal date on or after March
1, 2005, in the following drug classes:
- Heptic 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMG)
- Nonsedating antihistamine drugs (NSA)
- Proton-pump inhibitors (PPI)
- Cyclooxygenase Inhibitor II (COX-II)
These members will receive their prescription, but
will be notified that they have until their next refill to discuss
the following with their prescribing physician:
- Try a lower cost alternative
- Seek authorization (medical exception) to continue taking their
current drug
- Pay the full retail price for the drug
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