MedicaidPrior AuthMedium impact
Exdensur™ (depemokimab-ulaa) (New)
Humana·LA · Pharmacy·Medicaid
We identified it
Jul 1, 2026
Summary
Humana Medicaid-Louisiana has issued a new Prior Authorization policy for Exdensur™ (depemokimab-ulaa), a newly approved medication. Billing teams must implement prior authorization requirements before submitting claims for this drug to avoid denials. The policy is 1 day old and requires immediate action.
Action Required
Immediately: Billing team must obtain prior authorization from Humana Medicaid-Louisiana before dispensing or billing for Exdensur™ (depemokimab-ulaa). Pharmacy staff should verify this requirement with the source policy at https://dctm.humana.com/Mentor/Web/v.aspx?objectID=090009298a56a5be for specific prior authorization procedures, required documentation, and approval timelines. Add Exdensur™ to the prior authorization checklist in billing systems and pharmacy records. Claims submitted without prior authorization will be denied. Note: Specific billing codes (HCPCS/CPT/ICD-10) are not available in this summary-only document and must be obtained from the full policy details.