Humana Announces Changes to 2014 Formularies

Beginning Jan. 1, 2014, certain drugs will have new limitations or will require utilization management under the Humana commercial and Medicare formularies for the 2014 plan year. These changes could mean higher costs or new requirements for Humana members who use these drugs. Humana encourages the use of generic and cost-effective brand medications whenever possible.

Formulary Changes:

Below are links to charts that show some commonly used medications that will be impacted by the Humana commercial and Medicare formulary changes in 2014 [i.e., prior authorization (PA) requirements, step therapy (ST) modifications and nonformulary (NF) changes]. Humana members are asked to talk to their health care provider about possible alternatives.

Commercial Changes:

View a list of some commonly used medications that will be impacted by Humana commercial formulary changes in 2014 [i.e., prior authorization (PA) requirements and step therapy (ST) modifications].

For prescription drug information for Humana commercial members, health care providers may visit our website at www.humana.com/providers/pharmacy/drug_list.aspx. Click "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 Changes:

View a list of some commonly used medications that will be impacted by Humana Medicare formulary changes in 2014 [i.e., prior authorization (PA) requirements, step therapy (ST) modifications and nonformulary (NF) changes].

For prescription drug information for Humana Medicare members, health care providers may visit www.humana.com/providers/pharmacy/drug_list.aspx.. Click "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 Medications:

High-risk medications (HRMs) have the potential to be problematic in those 65 years of age or older. View a list of some commonly used HRMs that will be impacted by Humana Medicare formulary changes in 2014.

If health care providers have questions regarding these changes, they may call 1-800-457-4708. This line is open from 8 a.m. to 8 p.m. local time, Monday through Friday.