Precertification
Some drugs require precertification before they can be delivered or administered in a physician’s office, clinic, outpatient or home setting. Precertification is required for the drugs listed below.
Request Submission
Doctors can submit their requests to the Humana Medication Intake Team (MIT) through the following methods.
Phone & Fax Requests
| Hours: | 8 AM - 6 PM EST, Monday – Friday |
|---|---|
| Phone Requests: | 1-866-461-7273 |
| Fax Requests: | Complete the applicable form below and fax to 1-888-447-3430 |
Customized Fax Forms
| Adcirca |
|
|---|---|
| Aloxi IV injection |
|
| Aranesp |
|
| Arcalyst |
|
| Arranon |
|
| Avastin |
|
| Avonex |
|
| Betaseron |
|
| Boniva IV |
|
| Botox |
|
| Copaxone |
|
| Cimzia |
|
| Cinryze |
|
| Dacogen |
|
| Dysport |
|
| Emend IV |
|
| Enbrel |
|
| Epogen |
|
| Erbitux |
|
| Euflexxa |
|
| Forteo |
|
| Flolan |
|
| Fusilev (levoleucovorin) |
|
| Genotropin |
|
| Herceptin |
|
| Humatrope |
|
| Humira |
|
| Hyalgan |
|
| Ilaris |
|
| Increlex |
|
| IVIG |
|
| Ixempra |
|
| Kineret |
|
| Letairis |
|
| Leukine |
|
| Lucentis |
|
| Macugen |
|
| Mozobil |
|
| Myobloc |
|
| Neulasta |
|
| Neupogen |
|
| Norditropin |
|
| Nplate |
|
| Nutropin |
|
| Orencia |
|
| Orthovisc |
|
| Ozurdex |
|
| Pegasys |
|
| Peg-Intron |
|
| Procrit |
|
| Rebif |
|
| Reclast |
|
| Relistor |
|
| Remicade |
|
| Remodulin |
|
| Revatio |
|
| Revlimid |
|
| Ribavirin |
|
| Rituxan |
|
| Sandostatin |
|
| Saizen |
|
| Serostim |
|
| Simponi |
|
| Soliris |
|
| Somatuline Depot |
|
| Somavert |
|
| Supartz |
|
| Synagis |
|
| Synvisc |
|
| Tev-Tropin |
|
| Torisel |
|
| Tracleer |
|
| Treanda |
|
| Tysabri |
|
| Vectibix |
|
| Velcade |
|
| Ventavis |
|
| Vidaza (injectionl) |
|
| Visudyne |
|
| Xolair |
|
| Zometa |
|
