StateFormulary program

Florida

Florida Managed Medical Assistance (MMA) Program (Humana Medical Plan)

Humana medical plan formulary – English

Humana medical plan formulary – Spanish

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 Non-Formulary 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.

2024 Preferred Drug List – English

Preferred Drug List Changes - English

2024 Preferred Drug List - Spanish

Preferred Drug List Changes - Spanish

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

2024 Preferred Drug List (English)

Preferred Drug List Changes (English)

2024 Preferred Drug List (Spanish)

Preferred Drug List Changes (Spanish)

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, PDF