In the interest of member safety and health, Humana periodically reviews members' drug utilization as indicated by prescription claims data. These reviews are guided by healthcare standards published by:
Humana informs healthcare providers of these reviews through mailings, faxes, e-prescribing messages and Availity Care Profile alerts. Mail and fax initiatives may include a response form inviting healthcare providers to send comments, and a list of actions taken, to Humana. Below are some of the main focuses of our drug utilization reviews, along with related resources for healthcare providers.