Submitting a request for prior authorization
A request must be submitted and approved in advance for medications requiring a prior authorization, before the drugs may be covered by Humana.
Prescribers can submit their requests to Humana Clinical Pharmacy Review (HCPR) in the following ways:
Electronic requests: CoverMyMeds® is a free service that allows prescribers to submit and check the status of prior authorization requests electronically for any Humana plan. You can access this service directly (registration required) or review the flyer below for details.
Phone requests: Call 1-800-555-CLIN (2546), Monday – Friday, 8 a.m. – 8 p.m., local time.
Fax requests: Complete the applicable form and fax it to 1-877-485-2621.
Prescriber quick reference guide: This guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals and claims. It also provides applicable phone, fax and web contact information.