Colorado authorization form
The use of this form is mandated for prior authorization requests concerning commercial fully insured members who:
- reside in the state of Colorado, and/or
- Whose prescription drug coverage was sold in the state of Colorado.
Prescription drug prior authorization request form
Texas authorization form
Physicians and health care practitioners in Texas may use this form to submit authorization requests for their Humana-covered patients. Please complete the form and submit it to Humana by following the instructions on the form.
Texas authorization request form
If you have questions about whether you should use the state-mandated form(s) above, please call the MIT at 1-866-461-7273.