Medication adherence initiatives and resources

Improving medication adherence among its members is a key focus of Humana’s clinical programs.

Humana’s efforts to assist members in this area include the following actions:

Telephone and in-person consultations

  • Humana calls Medicare Advantage members whose claims data indicate they are not adherent to their medications. Humana tries to determine why a member is not adherent, explains the importance of adherence and offers a transfer to a nurse or pharmacist, when appropriate.
  • A dedicated team of Humana associates calls Medicare Advantage members when they are overdue for a refill of their diabetes, blood pressure or cholesterol medication and offers to help them refill the prescription at the pharmacy of their choice.
  • Humana’s RxMentor program provides eligible members with one-on-one consultations with pharmacists, in person or by phone. Adherence and drug safety are part of these conversations.

Member mailings

  • Humana mails medication adherence educational materials to members who do not appear to be taking their medication as directed. 
  • Humana Medicare Prescription Drug Plan members receive a SmartSummaryRx benefits statement that recommends lower-cost alternatives to their medications, when applicable. Humana hopes to improve medication adherence for members who see cost as a barrier to taking their prescriptions as directed.

Mail-order pharmacy options

  • Humana contracts with mail-order pharmacies, including Humana Pharmacy, so our members can avoid trips to the pharmacy. Humana Pharmacy can offer members free shipping to the location of their choice. This eases the burden of filling prescriptions and can improve adherence. In addition, in many of Humana’s Medicare plans, members may receive Tier 1 generic medications for a $0 copayment at Humana Pharmacy. Members often cite costs as a reason for nonadherence; so, affordable medications may help them stay on track with their prescription therapy. Humana Pharmacy can also provide Humana members with refill reminders and mobile app tools that can encourage them to keep an adequate supply of their medications on hand.

    We recognize your patients must determine which pharmacy will best meet their prescription needs. If your patients choose to fill their prescriptions at Humana Pharmacy, call 1-800-379-0092 or look for “Humana Pharmacy” in your e-prescribing software.

The value of 90-day prescriptions

An analysis of Humana claims shows 82 percent of Medicare members who fill 90-day prescriptions are adherent to their medication regimen, while only 68 percent of 30-day fillers are adherent. The analysis notes 79 percent of commercial members with 90-day fills are adherent, a rate which is 21 percent higher than that of commercial members with 30-day fills. A comparison of Humana members also reveals those using a mail-order pharmacy are about 5 percent more likely to be adherent than those using retail pharmacies. Please encourage adherence by providing 90-day prescriptions for maintenance drugs.

Teaming up with physicians

We know medication adherence consultations with patients can be time-consuming. Do you have a patient you believe would benefit from a medication adherence discussion with a nurse or pharmacist? To refer a patient for a free, Humana-facilitated consultation, please call 1-800-491-4164 between 8:30 a.m. and 5:30 p.m. local time, Monday through Friday.

To enhance the medication adherence discussions you have with your patients, Humana provides the following member-focused fliers. You are encouraged to print and distribute these materials as needed.

Asthma/COPD flier

English | Spanish

Cholesterol flier

English | Spanish

Diabetes flier

English | Spanish

Hypertension flier

English | Spanish

Osteoporosis flier

English | Spanish

A flier for health care providers summarizing Humana’s medication adherence efforts is available for download below.

Medication adherence resources