All PlansCoverageMedium impact
Medical Specialty Drug Policies I K
HMSA·HI · Oncology, Rheumatology, Neurology +4 more·Pharmacy
We identified it
Jun 20, 2026
Summary
HMSA has updated their Medical Specialty Drug Policies for drugs beginning with letters I through K. This is a summary-only update requiring review of the full policy details on the HMSA provider resource center to understand specific coverage and prior authorization requirements for specialty medications.
Action Required
Immediately: Billing team and providers should review the updated Medical Specialty Drug Policies I-K at the HMSA provider resource center (https://prc.hmsa.com/s/article/Medical-Specialty-Drug-Policies-I-K) to identify any changes to prior authorization requirements, coverage criteria, or billing procedures for specialty drugs beginning with letters I through K. Update internal protocols and prior authorization workflows as needed based on policy details.