Submitting a prior authorization request
Prescribers should complete the applicable form below and fax it to Humana’s Medication Intake Team (MIT) at 1-888-447-3430. To obtain the status of a request or for general information, you may contact the MIT by calling 1-866-461-7273 Monday through Friday, 8 a.m. to 6 p.m. EST.
Form(s) for state mandates
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
If you have questions about whether you should use the state-mandated form(s) above, please call the MIT at 1-866-461-7273.
Prescriber quick reference guide
This guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals, prior authorization and claims. It also provides phone, fax and Web contact information.
Prescriber quick reference guide (0.2 MB)
Customized fax forms
Agency for Health Care Administration customized fax forms
To obtain the appropriate fax form for members covered by AHCA (Agency for Health Care Administration) Florida Medicaid (FLM) plans, please call 1-866- 461-7273.
General fax forms
Universal medical fax form (452 Kb)