Effective January 1, 2019
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 Medicare formularies for the 2019 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 the top 10 drug changes by usage for each formulary beginning Jan. 1, 2019:
Search for prescription drugs online
Prescription drug information for Humana commercial or Medicare members and healthcare providers is available through the provider drug list search:
- Click “Drug list search” 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 healthcare 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.