All PlansCoverageMedium impact
Medical Specialty Drug Policies D F
HMSA·HI · Oncology, Rheumatology, Endocrinology +4 more·Pharmacy
We identified it
Jun 20, 2026
Summary
HMSA has updated their Medical Specialty Drug Policies for drugs beginning with letters D through F. This is a summary-only update to their provider resource center that may affect specialty drug coverage, prior authorization requirements, or billing procedures for affected medications.
Action Required
Immediately: Review the complete policy details at https://prc.hmsa.com/s/article/Medical-Specialty-Drug-Policies-D-F to identify specific changes to specialty drug coverage, prior authorization requirements, or billing procedures. Billing team should compare current drug policies with updated version and update prior authorization workflows accordingly.