New and Revised Pharmacy and Medical Coverage Policies Available

Revised pharmacy

Humana's medical and pharmacy coverage policies are based on evidence published in peer-reviewed medical literature, technology assessments obtained from independent medical research organizations, evidence-based consensus statements and evidence-based guidelines from nationally recognized professional health care organizations.

Information about medical and pharmacy coverage policies can be found at Humana.com/provider by selecting "Medical and Pharmacy Coverage Policies" under "Resources." Medical and pharmacy coverage policies can be reviewed by name or revision date. Users also may search for a particular policy using the search box. More detailed information may be found by reviewing "How to Read a Medical Coverage Policy" and "Understanding the Medical Coverage Policy Development Process."

Below are new, revised and retired policies:

New pharmacy coverage policies

  • Alecensa (alectinib)
  • Bendeka (bendamustine)
  • Campath (alemtuzumab)
  • Daklinza (daclatasvir)
  • diclofenac topical gel (generic Voltaren gel)
  • Esbriet (pirfenidone)
  • Portrazza (necitumumab)
  • Spritam (levetiracetam)
  • Vistogard (uridine triacetate)
  • Vraylar (cariprazine)
  • Xuriden (uridine triacetate)
  • Zepatier (elbasvir/grazoprevir)

Revised pharmacy coverage policies

  • No policies with significant revisions

New medical coverage policies

  • Molecular markers in fine needle aspirates of thyroid nodules

Revised medical coverage policies

  • Blepharoplasty, blepharoptosis repair and brow lift
  • Bone density measurement
  • Coronary artery calcium scoring and coronary computed tomography angiography
  • Drug testing
  • Gynecomastia surgery
  • Intensity modulated radiation therapy (IMRT)
  • Nerve conduction testing, somatosensory evoked potentials, surface electromyography
  • Orthotics
  • Platelet derived growth factors for wound healing
  • Skin and tissue substitutes
  • Spinal cord stimulators
  • Urinary and fecal incontinence treatments

Retired medical coverage policies

  • No retired coverage policies