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. Medicare patients can use the Medicare Part D Coverage Determination Request Form for their request.
You have the right 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 can contact Humana Clinical Pharmacy Review (HCPR). Here are contacts your doctor can use:
Fax number: 1-877-486-2621
Humana Pharmacy Operations
P.O. Box 33008
Louisville, KY 40232-3008.
Register with MyHumana to print Humana member identification cards, check claims, and get the information you need anytime.Register for MyHumana (link opens in new window)
Sign in to MyHumana to find out if your plan covers a certain prescription drug, and view estimated prices based on the pharmacy you select.Drug Pricing Tool
To consider a Part D coverage determination or redetermination request from someone other than the member, we must have authorization.Download PDF (link opens in new window)