stethoscope

Join our network and find credentialing information.

Log in to Availity Essentials™ to access patient benefits, claims information and more.

Find tools and materials to support doing business with us.

Learn more about research and trends that impact your practice.

Find self-service info and phone numbers and update your provider data.

Review prior authorization lists for services, medications and submission guidance.

Prior authorization submission information

Professionally administered drugs prior authorization

Find appeals guidelines and payment policy information.

Learn how to submit claims and find coding guidance.

Find policies for procedures, devices and medications.

Review guidelines and health programs to support your patients and practice.

Find dental benefits, tools and resources.

Prior authorization for professionally administered drugs 

Locate state-specific resources for Humana Healthy Horizons® (Medicaid).

compass

Shop plans, learn about Medicare and explore member resources.

Search for in-network medical, vision, dental and pharmacy providers.

Humana Drug Lists for providers

A caregiver goes over a patient's medicine information

To learn about formulary-related information for your Humana-covered patients, review Humana’s list of covered drugs. These search tools indicate whether a medication is covered by the patient’s plan, and provide prescription alternatives.

Medicare: Drug List for Medicare plans

Commercial: Drug List for employer plans

The commonly prescribed drug list is a quick reference guide for drugs in select therapeutic categories:

Premier PDP

Super National-5 MAPD

This reference guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals, precertification and claims. It also provides applicable phone, fax and web contact information.

Prescriber quick reference guide

State-specific formulary plans

Each formulary is a list of covered drugs selected by Humana in consultation with a team of healthcare practitioners. It represents the prescription therapies believed to be a necessary part of a quality treatment program.

State	Formulary program
Florida	Florida Managed Medical Assistance (MMA) Program (Humana Medical Plan) Florida’s Agency for Health Care Administration (AHCA) regularly updates the Florida Medicaid Preferred Drug List. Please see the link below for changes to the formulary for patients with Florida Medicaid coverage. Florida Medicaid Preferred Drug List AHCA Nonformulary Alternatives List
Illinois	Humana Gold Plus^® Integrated Medicare-Medicaid in Illinois 2024 Prescription Drug Guide – English 2024 Prescription Drug Guide – Spanish 2023 Prescription Drug Guide – English 2023 Prescription Drug Guide – Spanish
Indiana	Humana Healthy Horizons in Indiana The Indiana Health Coverage Programs pharmacy benefit manager houses the preferred drug list. Please see the link below to access information. Once on the page click on the preferred drug list link on the right-hand side for the most updated information. Preferred Drug List – English Preferred Drug List Changes - English Preferred Drug List - Spanish Preferred Drug List Changes - Spanish Preferred Drug List – Machine readable Indiana Medicaid Preferred Drug List
Kentucky	Humana Healthy Horizons in Kentucky Kentucky Medicaid Single Preferred Drug List
Louisiana	Humana Healthy Horizons in Louisiana Louisiana Medicaid Single Preferred Drug List
Ohio	Humana Healthy Horizons in Ohio Ohio Department of Medicaid (ODM) Unified PDL
Oklahoma	Humana Healthy Horizons in Oklahoma Preferred Drug List (English) Preferred Drug List Changes (English) Preferred Drug List (Spanish) Preferred Drug List Changes (Spanish) Preferred Drug List – Machine readable Oklahoma Medicaid Prior Authorization Criteria
South Carolina	Humana Healthy Horizons in South Carolina Comprehensive Drug List (English) Comprehensive Drug List (Spanish) Comprehensive Drug List Changes (English) Comprehensive Drug List Changes (Spanish) Comprehensive Drug List – (Machine Readable File)

Prescriber quick reference guide

Tools and resources

Humana Drug List