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 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