2013 commercial formulary changes
Effective Jan. 1, 2013, certain drugs under the Humana commercial formularies will have new limitations or will require utilization management for the 2013 plan year. These changes could mean higher costs or new requirements for Humana members who choose to use these drugs. Humana encourages the use of generic and cost-effective brand medications whenever possible.
Below is a list of some commonly used medications that will be impacted by Humana commercial formulary changes in 2013 [i.e., prior authorization (PA) requirements and step therapy (ST) modifications]. Humana members are asked to talk to their health care provider about possible alternatives.
Download and print a PDF file of this information.
Impacted Drug | 2013 Formularies | One Possible Alternative |
Rx3 | Rx4 |
Actos | ST | ST | pioglitazone |
Actoplus Met | ST | ST | pioglitazone/metformin |
Asacol/Asacol HD | ST | ST | Apriso |
Boniva | ST | ST | ibandronate |
Clarinex | ST | ST | desloratadine |
Diovan | ST | ST | valsartan |
Diovan HCT | ST | ST | valsartan/HCTZ |
Exalgo | ST | ST | morphine sulfate ER |
Fortamet | ST | ST | metformin |
Lexapro | ST | ST | escitalopram |
Maxair Autohaler | ST | ST | Ventolin HFA |
Maxalt | ST | ST | rizatriptan |
Naprelan | ST | ST | naproxen |
Plavix | ST | ST | clopidogrel |
ribavirin | PA | PA | n/a |
Rythmol SR | ST | ST | propafenone ER |
Seroquel | ST | ST | quetiapine |
Singulair | ST | ST | montelukast |
Uroxatral | ST | ST | alfuzosin ER |
Xifaxan | PA | PA | n/a |
For prescription drug information for Humana commercial members, visit our website at www.humana.com/providers/pharmacy/drug_list.aspx. Click "Drug List Search" and enter the drug name. Choose "Commercial" to see the drug’s tier placement in commercial formularies and any restrictions that apply.
If you have any questions regarding this document, please call 1-800-457-4708. This line is open from 8 a.m. to 8 p.m., local time, Monday through Friday. (In Puerto Rico, please call 1-866-773-5959.)
