Company Information
Humana Pharmacy Solutions processes more than 201 million prescriptions a year and employs more than 300 pharmacists. We are one of the highest-volume pharmacy benefits managers (PBMs) in the nation.
Advantages of Humana Pharmacy Solutions
When employers choose Humana Pharmacy Solutions as their PBM, they take advantage of nearly 20 years of pharmacy administration experience, as well as:
- Total cost account management – Pricing and financial transparency and accountability. Find out more about our competitive advantage.
- Expertise and experience – Including more than 300 pharmacists who can help empower employers and their employees. We process millions of prescriptions a year, and manage pharmacy plans for self-funded and stand-alone plans – at a lower net cost.
- Consumer education – We educate consumers to have better health outcomes and lower costs through our online tools and our pharmacy experts.
- Innovative benefit designs – We offer a multitude of pharmacy benefit designs:
- Rx-only plans with tiered benefits for cost savings and therapeutic outcomes
- High deductible health plans with the option of preventive drugs outside the deductible
- Group Medicare Part D plans
Find out more about our innovative products and plans.
A top PBM – backed by a Fortune 100 Company
Humana, headquartered in Louisville, Ky., is one of the nation's largest publicly traded health benefits companies, with about 10.3 million medical members.
With Humana Pharmacy Solutions, employers get more than the standard "formulaic" pharmacy management approach. Instead, you and your employees have total-health expertise working for you every time you order a prescription.
URAC Accreditation
Humana Pharmacy Solutions is accredited as a Pharmacy Benefits Manager by URAC, the premier quality organization working in healthcare.
RightSourceRx, Humana Pharmacy Solutions’ home-delivery pharmacy program, was one of only three programs to receive the first URAC accreditation for mail-order pharmacy.
As an accrediting organization for healthcare, URAC develops standards with the help of nationwide experts in healthcare – providers, insurers, healthcare organizations, and public interest groups. URAC's accreditation is used to meet state regulatory requirements.
Pricing Transparency
Humana Pharmacy Solutions is one of a handful of nationwide PBMs to receive the coveted TIPPS (Transparency in Pharmaceutical Purchasing Solutions) certification for meeting the requirements and guidelines developed by the HR Policy Association.
TIPPS certification – the "Gold Standard" for transparency in the Pharmacy Benefit Management industry – specifies that Humana Pharmacy Solutions:
- Discloses acquisition costs for brand and generic drugs dispensed at either retail pharmacies or for home delivery
- Passes along all drug company rebates that relate to use under an employer's contract
- Charges a straight administrative fee, instead of making profits from rebates or spread pricing
Humana Pharmacy Solutions adheres to ethical business practices and doesn't exclude drugs or prescriptions to cosmetically raise its generic discount or rebates per script. When appropriate, employers can audit Humana Pharmacy Solutions to ensure compliance with TIPPS standards.
These accreditations and certifications are your assurance that Humana Pharmacy Solutions is among the top-quality pharmacy benefit managers in the industry.
Contact Us
To find out more about the advantages of using Humana Pharmacy Solutions as your PBM, contact us.
