Humana Drug List

Humana drug lists

This page links you to prescription drug information for all Humana members.

2015 formulary changes

Below are links to charts that show some commonly used medications impacted by the Humana commercial and Medicare formulary changes in 2015 (e.g., prior authorization (PA) requirements, step therapy (ST) modifications and nonformulary (NF) changes). Humana members are asked to talk to their physician or other health care practitioner about possible alternatives.

Commercial formulary changes: View a list of some commonly used medications (201 Kb) that are impacted by Humana commercial formulary changes in 2015 (e.g., prior authorization (PA) requirements and step therapy (ST) modifications).

For prescription drug information for Humana commercial members, choose "Drug list search" and enter the drug name. Choose "Commercial" to see the drug's tier placement in commercial formularies and any restriction that may apply.

Medicare formulary changes: View a list of formularies containing some commonly used medications (189 Kb) that are impacted by Humana Medicare formulary changes in 2015 (e.g., prior authorization (PA) requirements, step therapy (ST) modifications and nonformulary (NF) changes).

For prescription drug information for Humana Medicare members, choose "Drug list search" and enter the drug name. Choose "Medicare" to see the drug's tier placement in Medicare formularies and restrictions that may apply.

High-risk medication updates: High-risk medications (HRMs) have the potential to be problematic in those 65 years of age or older. View a list of formularies containing some commonly used HRMs (189 Kb) that are impacted by Humana Medicare formulary changes in 2015.

Drug guides

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

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.

Other resources

Point-of-sale medications
This list includes those medication combinations that will result in a denial at the pharmacy and will require additional prescriber approval.
(86 KB) Download PDF
English | Spanish

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.
(325 KB) Download PDF
English

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.
(125 KB) Download PDF
English

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.
(0.2 MB) Download PDF
English

More about Humana drug lists

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.