To learn about formulary-related information for your Humana-covered patients, review , opens new window. These search tools indicate whether a medication is covered by the patient’s plan, and provide prescription alternatives.
Medicare: Drug List for Medicare plans
Commercial: Drug List for employer plans
Prescriber quick reference guide
This reference guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals, precertification and claims. It also provides applicable phone, fax and web contact information.
Tools and resources
State-specific formulary plans
Each formulary is a list of covered drugs selected by Humana in consultation with a team of healthcare practitioners. It represents the prescription therapies believed to be a necessary part of a quality treatment program.
State-specific formulary plans
Florida
Florida Managed Medical Assistance (MMA) Program (Humana Medical Plan)
Florida’s Agency for Health Care Administration (AHCA) regularly updates the Florida Medicaid Preferred Drug List. Please see the link below for changes to the formulary for patients with Florida Medicaid coverage.
Illinois
Humana Gold Plus® Integrated Medicare-Medicaid in Illinois
Kentucky
Humana Healthy Horizons in Kentucky
Ohio
Humana Healthy Horizons in Ohio
South Carolina
Humana Healthy Horizons in South Carolina
Humana Drug List
Humana's lists of prescription drugs are developed and maintained by a medical committee consisting of physicians and pharmacists. Member drug coverage varies by plan. Certain drugs may have coverage limitations based on duration or dosage, or may require preapproval. Humana may add drugs to the list, change drugs on the list or remove drugs from the list at any time, which could affect the amount the member pays for prescription drugs.