Check Which Drugs Humana Covers

Check which drugs Humana covers

This page links you to prescription drug information for members with Humana Medicare prescription drug coverage. This can be either through a Medicare Advantage plan with prescription drug coverage or a stand-alone prescription drug plan.

The Drug List is developed and maintained by doctors and pharmacists. If you are enrolled through an employer group retiree plan, the type of coverage you (or your former employer) purchased may cause variances in drug coverage. Certain drugs may have coverage limits; some may require pre-approval.

If you have specific questions about a medication that doesn't appear on the list, please call the Customer Care number on the back of your Humana member identification card.

Medicare Drug List

To look up a specific drug and view coverage details, possible generic equivalents and alternatives, use our Drug List search.

Drug List search

If you have a Medicare plan, you can go to Humana’s Medicare Drug List.

Drug pricing

To find out if your plan covers a certain drug and to view estimated prices based on the pharmacy you select, sign in to MyHumana and use our Drug Pricing tool.

Drug Pricing tool

Printable Drug Lists

Download a printable list of the most widely prescribed drugs on our Drug List.
2014 printable Drug Lists
2015 printable Drug Lists

Medicare updates

2015 Medicare Transition Policy

2014 Medicare Transition Policy

Specialty drugs

Your plan's Drug List may include specialty drugs, which are specialized therapies developed for chronic, complex illnesses. Many, but not all, of these drugs may be obtained through specialty pharmacies in your pharmacy network like Humana Specialty Pharmacy.

Humana’s plans give you access to mail delivery pharmacies like Humana Pharmacy®. Humana Pharmacy can ship your medications right to your door.

With Humana Pharmacy, you can:

  • Fill prescriptions for maintenance medications 3 months at a time.
  • Get possible savings.
  • Receive most medications 10 to 14 days after you place your Humana Pharmacy order, and in 7 to 10 days for a refill.
  • Talk directly to a pharmacist.
  • Pharmacists review each new prescription.
  • For more information, call Humana Pharmacy: 1-800-379-0092.
  • If you use a TTY, call 711.

Available Monday – Friday, 8 a.m. – 11 p.m. Eastern time; Saturday, 8 a.m. – 6:30 p.m. Eastern time

Members in Puerto Rico will need to use CVS/Caremark for specialty drugs.

Other specialty pharmacies are available in our network.

Prevent drug interactions

Drug interactions can be serious side effects. Find tips for avoiding these medication mistakes.

Find out more about drug interactions

Retail and mail delivery pharmacy information

You can get more information about Humana Pharmacy®

Learn more about Humana Pharmacy

If you are a member of a qualified State Pharmaceutical Assistance Program, please contact the program to verify that the mail order pharmacy will coordinate with that program.

You must use network pharmacies, except under non-routine circumstances. Other pharmacies are available in our network.

More about Humana’s Drug List

Drugs may be added, changed or deleted from the Drug List at any time, which could affect the amount you pay for prescription drugs.

Humana does not determine brand or generic status for the medications on our Drug List. A nationally recognized, contracted healthcare vendor determines whether a drug is classified as a generic or brand-name drug. One of the main factors for determining the status of a drug is the price. If pricing for a particular drug changes—as determined by using the average wholesale price—the brand or generic status may also change.

Pharmacy coverage policies

Quick reference guide for manual reimbursement

Over-the-counter Medicines and Products for Emergency Use – English (0.05 Mb)

Claim forms

The Humana Family Medicaid Drug List

The Humana Family Medicaid Drug List includes all of the covered drugs selected by Humana in consultation with a team of healthcare providers. It lists the prescription therapies believed to be a necessary part of a quality treatment program. Members can learn more about filling a prescription by reviewing their Evidence of Coverage.

Drug List search
To look up a specific drug and view coverage details, possible generic equivalents and alternatives, use our Drug List search.

Drug List search

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