Humana Announces Changes to 2016 Formularies

Woman talking with pharmacist

Beginning Jan. 1, 2016, certain drugs will have new limitations or will require utilization management under the Humana commercial and Medicare formularies for the 2016 plan year. These changes could mean higher costs or new requirements for Humana members who use these drugs. Humana encourages the use of generic and cost-effective brand medications whenever possible.

Formulary changes

Below are links to charts that show some commonly used medications that will be impacted by the Humana commercial and Medicare formulary changes in 2016 (e.g., prior authorization (PA) requirements, step therapy (ST) modifications and nonformulary (NF) changes).

Commercial formulary changes: View a list of formularies containing some commonly used medications that will be impacted by Humana commercial formulary changes in 2016 [e.g., prior authorization (PA) requirements and step therapy (ST) modifications].

For prescription drug information for Humana commercial members, health care providers may visit https://www.humana.com/provider/medical-providers/pharmacy/rx-tools/drug-list. Click "Drug list search" and enter the drug name. Choose "Commercial" to see the drug's tier placement in commercial formularies and any restriction that may apply.

Medicare formulary changes: Below are links to formularies containing some commonly used medications that will be impacted by Humana Medicare formulary changes in 2016:

For prescription drug information for Humana Medicare members, health care providers may visit https://www.humana.com/provider/medical-providers/pharmacy/rx-tools/drug-list. Click "Drug list search" and enter the drug name. Choose "Medicare" to see the drug's tier placement in Medicare formularies and restrictions that may apply.

If health care providers have questions regarding these changes, they may call 1-800-457-4708. This line is open Monday through Friday from 8 a.m. to 8 p.m. local time.