D.0 Pharmacy Payer Sheet View the NCPDP Version D.0 Commercial Payer Sheet - English (325 KB).
D.0 Pharmacy Payer Sheet View the NCPDP Version D.0 Medicare Payer Sheet - English (344 KB).
You can download the entire Humana Pharmacy Solutions Pharmacy Provider Manual or specific sections only.
Pharmacy provider manual Download the full manual - English (9.1 MB).
Download specific sections of the manual:
Humana’s Ethics Every Day for Contracted Health Care Providers and Business Partners
General Fraud, Waste and Abuse Detection, Correction and Prevention Training
Humana has adopted a training document published by the Centers for Medicare & Medicaid Services (CMS) that includes this subject matter. For purposes of first tier, downstream and related entities’ (FDRs) relationships with Humana, this training, including all references and requirements related to Medicare Part C and Part D, is applicable to all Humana lines of business. This includes commercial, Medicare Part C and Part D, dual Medicare-Medicaid and Medicaid.
Humana suggests FDRs use this file to simplify their training process, although they may use another training that is materially similar.
Humana Orientation Training for Pharmacy Providers Humana Orientation Training - English (544 Kb)
Health, Safety and Welfare Education Training Health, Safety and Welfare Education Training - English (3.43Mb)
Cultural Competency Training Cultural Competency Training - English (3.43Mb)
Medicaid Pharmacy Provider Training Medicaid Pharmacy Provider Training - English (582 Kb)
2015 Compliance Requirements Attestation Form for Pharmacy Providers 2015 Compliance Requirements Attestation Form for Pharmacy Providers - English (582 Kb)
2015 Compliance Requirements FAQ for Pharmacy Providers 2015 Compliance Requirements FAQ for Pharmacy Providers - English (582 Kb)
Pharmacy Audit Guide Download our Pharmacy Audit Guide - English (306 KB).
Humana Pharmacy Solutions audit discrepancy code list This list explains discrepancy codes used in pharmacy audit reports..
Prescription Drug Claim Form General form used to submit pharmacy benefits claims - English (694 KB).
Member Eligibility Query Download a guide for retrieving member eligibility - English (69 KB).
Long Term Care Appeal for Untimely Filing Download a resource for untimely filing for pharmacies - English (129 KB).
Long-Term-Care Pharmacy Documentation Guidelines Pharmacy Documentation Guidelines - English (102 KB)