Human Enhanced Formulary - Home - Crowe & Associates - humana formulary list of covered drugs

---

2017
Prescription Drug Guide
Humana Formulary
List of covered drugs
Humana Enhanced (PDP)
Region 2 PLEASE READ: THIS DOCUMENT CONTAINS
States of CT, MA, RI, VT INFORMATION ABOUT THE DRUGS WE
COVER IN THIS PLAN.
This formulary was updated on 11/07/2016. For more recent information
or other questions, please contact Humana at 1-800-281-6918 or, for TTY
users, 711, 7 days a week, from 8 a.m. - 8 p.m. However, please note that
the automated phone system may answer your call during weekends and
holidays from Feb. 15 - Sept. 30. Please leave your name and telephone
number, and we'll call you back by the end of the next business day, or
visit Humana.com.
Y0040_PDG17_FINAL_468C Approved S5884002000PDG1721817C_v6
Blank Page
PDG030
Welcome to Humana!
Note to existing members: This formulary has changed since last year. Please review this document to make sure
that it still contains the drugs you take.
What is the formulary?
A formulary is the entire list of covered drugs or medicines selected by Humana. The terms formulary and Drug List
will be used interchangeably throughout communications regarding changes to your pharmacy benefits. Humana
worked with a team of doctors and pharmacists to make a formulary that represents the prescription drugs we
think you need for a quality treatment program. Humana will generally cover the drugs listed in the formulary as
long as the drug is medically necessary, the prescription is filled at a Humana network pharmacy, and other plan
rules are followed. For more information on how to fill your medicines, please review your Evidence of Coverage.
Can the formulary change?
Generally, if you take a drug that was covered at the beginning of the year, that coverage will not be discontinued
or reduced during the 2017 coverage year. However, a formulary may be changed when, for example, a new, more
cost effective generic drug or new information about the safety or effectiveness of a drug is released. Other types
of formulary changes, such as removing a drug from our formulary will not affect members who are currently
taking the drug. It will remain available at the same cost-sharing for those members taking it for the remainder of
the coverage year. We feel it is important that you have continued access for the remainder of the coverage year
to the formulary drugs that were available when you chose your plan, except for cases in which you can save
additional money or we can ensure your safety.
We'll notify members who are affected by the following changes to the formulary:
When a drug is removed from the formulary
When prior authorization, quantity limits, or step-therapy restrictions are added to a drug or made more
restrictive
When a drug is moved to a higher cost-sharing tier
What if you're affected by a Drug List change?
We'll notify you by mail at least 60 days before one of these changes happens or we will provide a 60-day refill of
the affected medicine with notice of the change.
If the Food and Drug Administration decides a drug on the formulary is unsafe or the drug's manufacturer takes
the drug off the market, we'll immediately remove the drug from the formulary and notify you if you're taking the
drug.
The enclosed formulary is current as of January 1, 2017. We'll update the printed formularies each month and
they'll be available on Humana.com.
To get updated information about the drugs that Humana covers, please visit Humana.com/medicaredruglist.
The Drug List Search tool lets you search for your drug by name or drug type.
For help and information, call Humana Customer Care at 1-800-281-6918 (TTY: 711). You can call seven days a
week, from 8 a.m. - 8 p.m. However, please note that the automated phone system may answer your call during
weekends and holidays from Feb. 15 - Sept. 30. Please leave your name and telephone number and we'll call you
back by the end of the next business day.
2017 HUMANA FORMULARY UPDATED 11/2016 - 3


• 2017 Prescription Drug Guide - Insurance Connection USA
• (List of Covered Drugs) - Health Alliance
• Prescription Drug Guide - NMRHCA
• 2019 Humana Preferred Comp Formulary - Home Medicare
• 2022 List of Covered Drugs (Formulary) - Humana