For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com. We will communicate changes to the Drug List to members based on the Drug List notification requirements established by each state.If a specific drug you need is not on the list, please call the Customer Care number on the back of your Humana member ID card.View documents regarding our prescription coverage policies, reimbursement and claim forms for Medicare.Some drugs require approval from Humana before your plan will cover them. A formulary is a list of covered drugs.


New medicines are added as needed, and medicines that are deemed unsafe by the Food and Drug Administration (FDA) or a drug's manufacturer are immediately removed. Use our search tool to look up a specific drug you need.

It will tell you whether the drug is covered by Humana and provide alternatives and generics.You can print out the full list of drugs covered by Humana, called the Prescription Drug Guide. Overview of what Medicare drug plans cover. Both brand-name and generic drugs are covered in Medicare Part D plans.

If you need to request us to cover a medication that’s not on the list of covered drugs, contact Humana Clinical Pharmacy Review (HCPR) at 1-800-555-CLIN (2546), TTY: 711, Monday – Friday, 8 a.m. – 6 p.m., in your local time zone.Humana Drug List, also called “formulary,” lists the most widely prescribed drugs covered by Humana and is updated regularly by doctors and pharmacists in our medical committee. If the formulary doesn’t include your medication, ask your doctor if a similar medication is on the list or if they can help you get an exception for coverage. Humana is also a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. See our Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Some had no coverage. CareSource uses Preferred Drug Lists, also called PDLs. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: CT, DE, MA, MD, ME, MI, MN, MS, NC, ND, NY, OH, RI, SC, VT, WA; suburban areas of: MT and ND; and rural areas of: ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. Get the most up-to-date information on COVID-19 and learn how Humana is supporting members’ whole-person health.

As you review plans, make sure any plan you consider includes the medications you take in its formulary. Covered medications. Y0040_GHHK35EEN
A formulary is a list of medications that a Medicare drug plan will cover.

Select from the options below to download and print.If you have Medicare Advantage and/or a prescription drug plan, you can request a printed copy of your Prescription Drug Guide, or Drug List, by mail. CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies.

We also provide free language interpreter services. Formulary & Drug Lists for Medicaid Members Medicaid Formulary (Drug List) 2020.

Preferred Drug List. Enrollment in any Humana plan depends on contract renewal.The Humana Premier Rx Plan (PDP) and the Humana Walmart Value Rx Plan (PDP) pharmacy network includes limited lower-cost, preferred pharmacies in urban areas of AL, CA, CT, DC, DE, GA, IA, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NY, OH, OR, PA, PR, RI, SC, SD, TN, VA, VT, WA, WI, WV, WY; suburban areas of AZ, CA, CT, DC, DE, HI, IA, IL, IN, MA, MD, ME, MI, MN, MO, MT, ND, NH, NE, NJ, NY, OH, OR, PA, PR, RI, SD, VT, WA, WV, WY; and rural areas of AK, IA, MN, MT, ND, NE, SD, VT, WY. Although pharmacy coverage is an optional benefit under federal Medicaid law, all states currently provide coverage for outpatient prescription drugs to all categorically eligible individuals and most other enrollees within their state Medicaid programs.The Medicaid prescription drug programs include the management, development, and administration of systems and Medicaid Beneficiaries with Complex Care Needs and High CostsCommunity Integration Through Long-Term Services and SupportsUsing Section 1115 Demonstrations for Disaster ResponseHome & Community-Based Services in Public Health EmergenciesMedicaid and CHIP Eligibility & Enrollment WebinarsLawfully Residing Immigrant Children & Pregnant WomenMay 2020 Medicaid & CHIP Enrollment Data HighlightsCoronavirus Disease 2019 (COVID-19): Section 1115 DemonstrationsMedicaid Third Party Liability & Coordination of BenefitsActuarial Report on the Financial Outlook for MedicaidSection 223 Demonstration Program to Improve Community Mental Health ServicesEarly and Periodic Screening, Diagnostic, and TreatmentVision and Hearing Screening Services for Children and AdolescentsAlternatives to Psychiatric Residential Treatment Facilities Demonstration Updates to this year’s formulary are posted monthly. Official Medicare site.

Medicaid Formulary Updates These are drugs that we like our providers to prescribe.