New and Revised Pharmacy and Medical Coverage Policies Available

Pharmacist with prescription

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." Policies can be reviewed by name or revision date. Users also may search for a particular policy using the search box. More detailed information can be found by reviewing "How to Read a Medical Coverage Policy" and "Understanding the Medical Coverage Policy Development Process" under “Helpful Links.”

Recent changes to medical and pharmacy coverage policies are listed below:

New pharmacy coverage policies

  • Exondys 51 (eteplirsen)
  • Clinical trials pharmacy policy

Revised medical coverage policies

  • Bunion Surgical Treatments
  • Cardiovascular Disease (CVD) Risk Testing
  • Clinical Trials
  • Continuous Glucose Monitoring Systems and Insulin Pumps
  • Dynamic Spinal Stabilization Devices
  • Genetic Testing for Carrier Screening
  • Joint Resurfacing Arthroplasty
  • Pharmacogenomics and Companion Diagnostics
  • Vagus Nerve Stimulation
  • Ventricular Assist Device (VAD), Total Artificial Heart (TAH)