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.
Maintaining a healthy weight reduces your risk of heart disease, diabetes, cancer, and arthritis.Read about obesity and illness
How you sleep, eat, and relax can impact your skin. Learn how to keep it looking youthful.How to keep skin youthful
Bladder control problems are common and most can be helped. Learn how to take charge of your bladder health.Read about urinary incontinence