What do the columns on the Coverage Details chart mean?
• Drug Name: This is the drug name and dosage you entered. • Covered/Not Covered: “Covered” means the medication is on the plan’s Drug List. “Not Covered” means the medication is not on the Drug List, so you would be responsible for the entire cost of the drug. • Preferred Generic/Preferred Brand/Non-Preferred Brand/Specialty – This indicates which group the medication is in on Humana’s Drug List, which has an impact on what you pay at the pharmacy. • Maximum Dispensing Limit: There is a limit on coverage based on the length of time or amount that can be dispensed for this medication to reflect the appropriate dose and usage based on the FDA label recommendations. • Prior Authorization: Your doctor must obtain approval from Humana before a prescription requiring prior authorization will be covered. • Step Therapy: Humana requires you to try certain drugs to treat your medical condition before we cover this drug. For example, if Drug A and Drug B both treat your medical condition, Human
