MedicaidPrior AuthLow impact
Thrombate III® [Antithrombin III (Human)] (New)
Humana·OH · Hematology, Internal Medicine, OB-GYN +1 more·Medicaid
Effective date
Aug 27, 2025
We identified it
Jun 24, 2026
Summary
Humana has implemented a new prior authorization policy for Thrombate III (antithrombin III) for Ohio Medicaid patients with hereditary antithrombin deficiency. Prior authorization is required for treatment of thromboembolism or prevention during surgical/pregnancy periods.
Action Required
By August 27, 2025: Billing team must implement prior authorization requirements for Thrombate III prescriptions for Ohio Medicaid patients. Verify patient has hereditary antithrombin deficiency diagnosis and confirm drug will be used for thromboembolism treatment or peri-operative/peri-partum prevention before submitting claims. Claims will be denied without proper prior authorization.