All PlansCoverageMedium impact
Medical Specialty Drug Policies S U
HMSA·HI · Oncology, Rheumatology, Neurology +5 more·Pharmacy
We identified it
Jun 20, 2026
Summary
HMSA has updated their Medical Specialty Drug Policies for medications starting with letters S through U. This policy update affects specialty drug coverage and potentially requires review of current billing practices for these medications.
Action Required
Immediately: Billing team should review the updated HMSA Medical Specialty Drug Policies S-U at https://prc.hmsa.com/s/article/Medical-Specialty-Drug-Policies-S-U to identify any changes to prior authorization requirements, coverage criteria, or billing procedures for specialty drugs starting with letters S through U. Update internal reference materials and notify providers of any coverage changes that may affect prescribing decisions.