Humana drug lists
This page links you to prescription drug information for all Humana members.
To access more formulary-related information for Humana members, visit the following member Web pages:
Medicare: Drug guides for Medicare plans
Commercial: Widely prescribed drugs and key annual changes for commercial members
Other: Widely prescribed drugs for HumanaOne and exchange members
The Humana Family Medicaid formulary is a list of covered drugs selected by Humana in consultation with a team of health care practitioners. It represents the prescription therapies believed to be a necessary part of a quality treatment program.
The Humana Integrated Care Program of Illinois formulary
The Humana Integrated Care Program of Illinois formulary is a list of covered drugs selected by Humana in consultation with a team of health care practitioners. It represents the prescription therapies believed to be a necessary part of a quality treatment program.
This list includes those medication combinations that will result in a denial at the pharmacy and will require additional prescriber approval.
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Clinical alert medications
This list includes those medication combinations that will result in a clinical alert from Humana. Please note: Prescribers may continue to receive clinical alerts from Humana until their patient's medications are adjusted.
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Medications to avoid in the elderly
View a regularly updated list adapted from the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®) measure, Use of High-risk Medications in the Elderly.
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Prescriber quick reference guide
This reference guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals, precertification and claims. It also provides applicable phone, fax and Web contact information.
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Humana’s lists of prescription drugs are developed and maintained by a medical committee consisting of doctors and pharmacists. Member drug coverage varies by plan. Certain drugs may have coverage limitations based on duration or dosage or may require preapproval. Humana may add drugs to the list, change drugs on the list or remove drugs from the list at any time, which could affect the amount the member pays for prescription drugs.