manuals-forms

Pharmacy manuals and forms

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

You can download the entire Humana Pharmacy Solutions Pharmacy Provider Manual or specific sections only.

Pharmacy provider manual
Download the full manual - English (9.1 MB).

Download specific sections of the manual:

Ethics document, audit guide, claim form and other materials

Humana Orientation Training
Humana Orientation Training - English (544 Kb)

Medicaid Pharmacy Provider Training
Medicaid Pharmacy Provider Training - English (582 Kb)

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 a resource for untimely filing for pharmacies - English (129 KB).

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