All PlansCoverageMedium impact
Medical Specialty Drug Policies A C
HMSA·HI·Pharmacy
We identified it
Jun 20, 2026
Summary
HMSA has updated their Medical Specialty Drug Policies for drugs beginning with letters A through C. This appears to be a resource update containing coverage and utilization management criteria for specialty medications in the pharmacy benefit.
Action Required
Immediately: Billing team should review the updated HMSA Medical Specialty Drug Policies A-C at the provider resource center to understand current coverage criteria, prior authorization requirements, and billing guidelines for specialty medications. Update internal reference materials and notify providers of any changes to covered drugs or authorization processes.