Beginning Jan. 1, 2017, certain drugs will have new limitations or will require utilization management (e.g., prior authorization [PA] requirements, step therapy [ST] modifications and nonformulary [NF] changes) under the Humana commercial and Medicare formularies for the 2017 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.
Medicare formulary changes: Below are links to formularies containing some commonly used medications that will be impacted by Humana Medicare formulary changes in 2017:
For prescription drug information for Humana commercial or Medicare members, health care providers may visit Humana.com/druglistsearch and enter the drug name. Choose either “Commercial” or "Medicare" to see the drug's tier placement in commercial or Medicare formularies and restrictions that may apply. If health care providers have questions regarding these changes, they may call 1-800-457-4708. This line is open Monday through Friday from 8 a.m. to 8 p.m. local time.