Denials, appeals and grievances

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fax appeals

Medicare Part D prescription-drug redetermination — form submission

Official page read

Phone

No phone listed for this route

Fax

877-556-7005

Completed Request for Redetermination of Medicare Prescription Drug Denial and supporting material.

Published hours

Not published in this record

Product, plan and location

medicare part d
National contact — confirm product and location

Mailing address

Humana Grievances and Appeals, P.O. Box 14165, Lexington, KY 40512-4165

Medicare prescription-drug redetermination form and supporting information.

This is the Part D form-specific destination. The current landing page and form publish different expedited telephone numbers; no expedited phone is assigned here. The form has no printed revision date established in this review.

View source ↗ · Source checked 2026-10-22 · humana partd redetermination ↗

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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member

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