Humana Specialty Pharmacy Benefits Prescribers and Patients

woman signing for medication delivery at home

Humana Specialty Pharmacy, Humana’s mail-order pharmacy for specialty medications, strives to provide a “total health” approach to care. By integrating customers’ pharmacy and medical needs, Humana Specialty Pharmacy may help save prescribers’ time, improve customers’ adherence to treatment goals and reduce health care costs.

Humana Specialty Pharmacy is a URAC-accredited specialty pharmacy and manages therapies for chronic and complex illnesses. A team of nurses and pharmacists who specialize in medications and conditions provide customers with clinical and educational services customized to their needs and their health care providers’ treatment goals.

Humana Specialty Pharmacy has an interactive website where both the customer and physician can obtain general information, disease-specific education, prior authorization forms and links to Humana insurance benefits. The site provides convenient access for customers to order items for skin care, personal care and other required nonspecialty supplies.

Humana Specialty Pharmacy offers the following services for prescribers:

  • Quick order placement by fax, phone or e-prescription
  • Updates on authorization status for select medication therapies
  • A "need-by date" refill process that helps eliminate medication surpluses while also helping to ensure customers have their medications when needed
  • Support for many complex therapies, including hemophilia, immune deficiency, oncology and hepatitis C
  • Prescription accuracy and safety protocols that include a prescription management program. This verifies that medications meet manufacturer and Humana dosing guidelines
  • Billing assistance to help with coverage questions

Humana Specialty Pharmacy offers the following services for customers:

  • A welcome call from a Humana Specialty Pharmacy representative for new customers
  • Refill reminders by email, phone or text message
  • Finance specialists who can connect customers to financial support programs offered by drug manufacturers and foundations. About 50 percent of Humana Specialty Pharmacy customers receive some type of financial support from these programs.
  • Education on medication side effects and how to minimize their impact
  • Medication adherence monitoring and coaching
  • Monitoring of proper medication dosing through lab results and contraindication reports, as well as a full medication review
  • Disease education
  • Injection training
  • 24-hour availability of pharmacists to answer customers' urgent or clinical questions
  • Medication delivery scheduling

To prescribe using Humana Specialty pharmacy, health care providers can:

  • Select "Humana Specialty Pharmacy" in their e-prescribing software.
  • Call Humana Specialty Pharmacy at 1-800-486-2668.
  • Fax the appropriate medication order form to 1-877-405-7940. Humana Specialty Pharmacy will accept faxes only from prescribers.

Humana recognizes that customers have the sole discretion to choose their pharmacy and that health care providers must use their independent medical judgment when advising their patients regarding pharmacy choices. Other pharmacies are available in Humana’s network. Prescription drug plan members should refer to their plan benefit information to verify their pharmacy mail-order benefit.

Prescribers who have questions about specialty drugs can call Humana Specialty Pharmacy at 1-800-486-2668. Specialty care coordinators are available Monday through Friday, 8 a.m. to 8 p.m., Eastern time, and Saturday, 8 a.m. to 6 p.m. Eastern time.