Here’s an example of prior authorization: you have diabetes and your doctor wants you to try a new medicine. Humana may need to pre-approve before you fill the prescription.
You may be able to appeal Humana’s decision if your medication is not authorized. You can get the forms you need by contacting us directly or through your doctor. Medicare patients can use the Medicare Part D Coverage Redetermination Request form for their appeal.
To see if any of your drugs need to be pre-approved, you can:
If you learn that you need prior authorization for a prescription, your doctor will contact Humana Clinical Pharmacy Review (HCPR). Here are contacts your doctor can use:
Fax number: 1-877-486-2621 Mailing address: Humana Pharmacy Operations P. O. Box 33008 Louisville, KY 40232-3008
Humana is a Medicare Advantage organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in a Humana plan depends on contract renewal.
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