Prior authorization for professionally administered drugs

Some drugs require prior authorization before they can be delivered or administered in a physician’s office, clinic, outpatient or home setting. Prior authorization is required for the drugs listed below in the “Customized fax forms” section.

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

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.

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.