All PlansCoverageMedium impact
Pharmacy Specialty Drug Policies U Z
HMSA·Pharmacy
We identified it
Jun 20, 2026
Summary
HMSA has published an updated provider resource guide for specialty drug policies covering medications beginning with letters U through Z. This is part of their pharmacy policy reference materials that may affect coverage and prior authorization requirements for specialty medications.
Action Required
Immediately: Billing team should review the HMSA provider resource center at https://prc.hmsa.com/s/article/Pharmacy-Specialty-Drug-Policies-U-Z to identify any changes to specialty drug coverage or prior authorization requirements for medications beginning with U-Z. Update prior authorization workflows and coverage verification procedures accordingly for HMSA members requiring these specialty medications.