Medicare AdvantagePrior AuthMedium impact
Lasix® ONYU (furosemide) (New)
Humana·Cardiology, Internal Medicine, Family Medicine +1 more·Medicare Advantage
Effective date
Jan 28, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage now requires prior authorization for Lasix ONYU (furosemide subcutaneous kit) for edema treatment. Patients must have chronic heart failure, edema, and previous loop diuretic treatment to qualify.
Action Required
By January 28, 2026: Billing team must update prior authorization protocols for Lasix ONYU subcutaneous kit prescriptions. Verify patients meet all three criteria: chronic heart failure diagnosis, current edema, and previous loop diuretic treatment before submitting authorization requests. Update pharmacy coverage verification procedures to check for this prior auth requirement.