Humana Drug List

Humana drug lists

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

2017 formulary changes

Below are links to charts that show some commonly used medications impacted by Humana commercial and Medicare formulary changes in 2017 (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 professionals about possible alternatives.

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 Medicare members, health care providers may visit Humana.com/druglistsearch 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: According to the Centers for Medicare & Medicaid Services (CMS), some drugs should be avoided or used with caution in the senior population. These drugs are known as “high-risk medications” and are considered by medical experts to pose a safety concern, due to the increased risk of harmful side effects. These side effects may include falls, confusion, drowsiness and weakness. Even if your patient is not experiencing any side effects, please continue to evaluate his/her medicines for potential side effects or issues.

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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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 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.

Humana Gold Plus Integrated (Illinois Medicare-Medicaid)

The Humana Gold Plus Integrated 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.

Humana Gold Plus Integrated, A Commonwealth Coordinated Care Plan (Virginia Medicare-Medicaid)

The Humana Gold Plus Integrated 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.

Florida Managed Medical Assistance (MMA) Program (Humana Medical Plan) formulary

The Humana Medical Plan 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. (As this document is updated regularly, the revision date is shown on the cover page of the formulary.)

Important note: Florida’s Agency for Health Care Administration (ACHA) regularly updates the Florida Medicaid Preferred Drug List. Please see the link below for changes to the formulary for patients with Florida Medicaid coverage.

Other resources

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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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.