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MedicaidPrior AuthMedium impact

Intravenous Iron Products (Revised)

Humana·LA · Hematology, Oncology, Nephrology +3 more·Medicaid
Effective date
Jan 1, 2024
We identified it
Jun 24, 2026
Days to comply

Summary

Humana Medicaid Louisiana now requires prior authorization for intravenous iron products (Feraheme, Injectafer, Monoferric) for iron deficiency anemia treatment. Patients must have tried or have contraindications to Infed and Venofer before approval.

Action Required

Action needed
Immediately: Billing team must ensure prior authorization is obtained for all Feraheme, Injectafer, and Monoferric infusions for Louisiana Medicaid patients. Verify patients have diagnosis of iron deficiency anemia and document prior therapy, contraindication, or intolerance to Infed and Venofer before submitting authorization requests. Claims will be denied without proper prior authorization.