Medicare AdvantagePrior AuthMedium impact
Neffy® (epinephrine nasal spray) (Revised)
Humana·Allergy & Immunology, Emergency Medicine, Family Medicine +2 more·Medicare Advantage
Effective date
Nov 27, 2024
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage now requires prior authorization for Neffy (epinephrine nasal spray) starting November 27, 2024. Coverage requires the medication be used for emergency allergic reactions and the patient must have had previous treatment failure or intolerance with traditional epinephrine auto-injectors like EpiPen or Auvi-Q.
Action Required
Immediately: Billing team must update prior authorization requirements for Neffy (epinephrine nasal spray) prescriptions for Humana Medicare Advantage patients. Providers must document that patient will use Neffy for emergency treatment of allergic reactions and has had previous treatment failure or intolerance with epinephrine auto-injectors (EpiPen or Auvi-Q). Submit prior authorization requests through www.humana.com/PAL before prescribing. Approvals are granted for plan year durations.