Rx Tools

Pharmacy tools

With Humana pharmacy tools, you can explore generic drug options, request a prior authorization or learn about RxMentor, a free pharmacist consultation program for some of your patients.

Coverage determinations

Get the resources you need for prescription drug coverage determinations and exceptions and appeals. You can submit prior authorization requests electronically or by phone or fax.

Electronic prescribing

E-prescribing can prevent medication errors by electronically checking prescriptions for dosage, interactions with other medications and therapeutic duplication. E-prescribers also can access information about their patients’ drug allergies.

Generic drug guide

To help you stay up to date on generic drugs, Humana offers a chart that lists common brand drugs and corresponding generic and over-the-counter (OTC) alternatives. You can download a printable version of the chart.

Prescription drug plans

Learn about employer group and Medicare plans, as well as the Limited Income Newly Eligible Transition (NET) Program.

Humana Drug Lists

View commercial or Medicare coverage details, a listing of high-risk medications for elderly patients, and the Humana Family Medicaid Formulary.


Humana’s RxMentor program connects eligible members with a pharmacist for face-to-face and telephone medication consultations. The program focuses on safety, lower-cost alternatives, adherence and health literacy.

SmartSummary® Rx

Humana’s SmartSummary Rx provides members with a list of their prescription drugs and actionable information about their drug spending.

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Addressing fraud, waste and abuse

Addressing fraud, waste and abuse

Learn how to detect and prevent fraud, waste and abuse with free training materials, tools and resources from Humana.

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Medicare and Medicaid information

Medicare and Medicaid information

Find state-specific resources, reimbursement guidelines, answers to frequently asked questions and more.

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