Submitting a prior authorization request
Prescribers should complete the applicable form below and fax it to Humana’s medication intake team (MIT) at 1-888-447-3430. To obtain the status of a request or for general information, you may contact the MIT by calling 1-866-461-7273, Monday – Friday, 8 a.m. – 6 p.m., Eastern time.
Puerto Rico prior authorization requests
Prescribers should submit these requests to the Puerto Rico Medication Intake Team by fax at 1-800-594-5309 (Medicare requests) or 1-800-658-9457 (commercial requests).
Prescribers with questions about the prior authorization process for professionally administered drugs should call 1-866-488-5995 for Medicare requests and 1-800-314-3121 for commercial requests. Assistance is available Monday through Friday, 8:30 a.m. to 5:30 p.m. local time.
Forms for state mandates
Colorado authorization form
The use of this form is mandated for prior authorization requests concerning commercial fully insured members who:
- Reside in the state of Colorado and/or
- Whose prescription drug coverage was sold in the state of Colorado
Texas authorization form
Physicians and healthcare practitioners in Texas may use this form to submit authorization requests for their Humana-covered patients. Please complete the form and submit it to Humana by following the instructions on the form.
If you have questions about whether you should use the state-mandated form(s) above, please call the MIT at 1-866-461-7273, Monday – Friday, 8 a.m. – 6 p.m., Eastern time.
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, prior authorization and claims. It also provides phone, fax and web contact information.
For members of the Agency for Health Care Administration (AHCA) Florida Medicaid (FLM) plans, please use the appropriate form below or call 1-866-461-7273.