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.

Access prior authorization resources

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.

Get details about electronic prescribing

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.

See the generic drug guide

Prescription drug plans

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

Find drug plan information

Humana Drug Lists

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

Visit the Humana Drug Lists page


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.

Get details about RxMentor

SmartSummary® Rx

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

Learn more about SmartSummary Rx
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Addressing fraud, waste and abuse

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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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