Pharmacy resources

We strive to keep prescription medication costs low for our members. We cover the prescription medications on the Preferred Drug List (PDL), also known as the formulary. Medications on the formulary are offered at no cost to Humana Healthy Horizons in Florida members. You can download the PDL below to find updates. If a medically necessary medication isn't on the formulary, you can prescribe a similar one that is on the list or obtain prior authorization for coverage. For more information, please visit the links below: 

• Florida Agency for Health Care Administration (AHCA) PDL, drug criteria and recent formulary changes
• Summary of PDL changes – English

The prescriber quick reference guide  contains important information on providing services to our Humana Healthy Horizons members.

Where available, generic medications should be prescribed to Humana Healthy Horizons members. Generic alternatives and equivalents to brand-name medications may help members save money. The U.S. Food and Drug Administration states that it ensures the safety and effectiveness of the generic medications it approves. A generic equivalent is identical, or bioequivalent, to a brand-name medication and must have the same active ingredient, strength, dosage form and route of administration as the brand-name product.

A generic alternative is not a direct generic for a particular brand-name medication, but, in most cases, it is in the same therapeutic class as the brand-name medication. Alternative medications produce similar clinical outcomes and often have similar side-effect profiles. You can review Humana’s commonly prescribed drug list and download a guide to generic equivalents and alternatives below:

• AHCA nonformulary alternatives list - English
• AHCA nonformulary alternatives list – Spanish

If you prescribe a specialty medication for a complex or long-lasting condition, members can fill it at any pharmacy in our network. Not all pharmacies carry these medications, so members may need to find a specialty pharmacy. Humana invites members to fill specialty prescriptions at CenterWell Specialty Pharmacy®. CenterWell Specialty Pharmacy will conveniently fill and mail prescriptions directly to the member’s home. 

For more information, call CenterWell Specialty Pharmacy at 855-506-1633 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., and Saturday, 8 a.m. – 6:30 p.m., Eastern time. 

Some conditions have a separate formulary of approved medications used for specific treatments: 

• Cystic fibrosis supplemental Drug List – English
• Cystic fibrosis supplemental Drug List – Spanish
• AHCA psychotherapeutic medication therapy policy and consent forms

Humana Healthy Horizons in Florida covers some OTC medications. Members can obtain coverage for OTC medications when they: 

• Receive a prescription from their provider
• Fill their OTC prescription at a pharmacy in our network
• Present the prescription at the pharmacy

You can download a list of OTC medications that are covered as part of the Humana Healthy Horizons pharmacy benefit below: 

• OTC order form – English
• OTC order form – English/Spanish