Medicare AdvantagePrior AuthMedium impact
Lynavoy (linerixibat) (New)
Humana·Pharmacy, Internal Medicine, Gastroenterology·Medicare Advantage
We identified it
Jul 21, 2026
Summary
Humana has issued a new Prior Authorization policy for Lynavoy (linerixibat), a medication for Medicare Advantage members. Billing teams must implement prior authorization requirements for this newly covered drug to ensure claims are not denied.
Action Required
Immediately: Billing team must obtain prior authorization from Humana before dispensing or billing for Lynavoy (linerixibat) for all Medicare Advantage members. Update billing system to flag Lynavoy prescriptions as requiring prior auth. Coordinate with pharmacy and providers to submit prior auth requests through the Humana portal (https://dctm.humana.com/Mentor/Web/v.aspx?objectID=090009298a5847f9) before claim submission. Claims submitted without prior authorization will be denied. Notify prescribing providers of this requirement immediately.