Here’s an example of prior authorization: you have diabetes and your doctor wants you to try a new medicine. This medicine requires approval from Humana before you can fill the prescription.
Reasons why you may need approval include:
To see which medicine requires prior authorization, search Humana's Drug List.
If you learn your medicine needs approval, your doctor will need to contact Humana Clinical Pharmacy Review (HCPR) and submit a prior authorization request. Here are the options:
You may be able to appeal Humana’s decision if your medicine is not approved. To file an appeal, please download and complete the Grievance and Appeal Request Form (link opens in new window) and return it to us.
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