All PlansCoverageMedium impact
Pharmacy Specialty Drug Policies O T
HMSA·HI·Pharmacy
We identified it
Jun 20, 2026
Summary
HMSA has updated their Pharmacy Specialty Drug Policies covering medications O through T. This policy update affects specialty drug coverage, billing, and prior authorization requirements for specialty pharmaceuticals within this alphabetical range.
Action Required
Immediately: Review the updated HMSA Pharmacy Specialty Drug Policies O-T at the provider resource center. Billing team should verify current prior authorization requirements and coverage criteria for specialty drugs starting with letters O through T. Update internal reference materials and notify providers of any changes to covered specialty medications.