Pharmacy Reference Materials

Access forms, manuals and other pharmacy reference material.

Payer Sheets

D.0 Pharmacy Payer Sheet
View the NCPDP Version D.0 Commercial Payer Sheet - English (325 KB).

D.0 Pharmacy Payer Sheet
View the NCPDP Version D.0 Medicare Payer Sheet - English (344 KB).

Provider Manual, Ethics Document, Part D Enrollment Form, and Rejection Codes

Pharmacy Provider Manual
Download a guide for Humana's Pharmacy Providers - English (9.1 MB).

Pharmacy Audit Guide
Download our Pharmacy Audit Guide - English (306 KB).

Principles of Business Ethics for Health Care Providers, Vendors and Related Entities
Download our Principles of Business Ethics for doctors, pharmacists, and others - English (112 KB).

Prescription Drug Claim Form
General form used to submit pharmacy benefits claims - English (694 KB).

Member Eligibility Query
Download a guide for retrieving member eligibility - English (69 KB).

Long Term Care Appeal for Untimely Filing
Download the following resource for untimely filing for pharmacies - English (129 KB).

Long-Term-Care Pharmacy Documentation Guidelines
Pharmacy Documentation Guidelines - English (156 KB)