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Humana Medicare
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Important forms for your mail-order drugs
Here are the forms to start your prescription. Home delivery starts here!
Downloadable Forms
Registration & Prescription Order Form
(PDF 624KB)
Download PDF
Physician Fax Form
(PDF 80KB)
Download PDF
How to Read your Label
(PDF 3MB)
Download PDF
en Español
Descargar el folleto de
Right
SourceRx
(PDF 288KB)
Download PDF
Medicare information
Search for Humana Medicare plans offered in your area by visiting
Humana-Medicare.com
Questions about
Right
SourceRx? Call us: 1-800-379-0092 TTY Users: 1-877-833-4486
Representatives are available Monday - Friday: 8:00 a.m. - 11:00 p.m., Saturday 8:00 a.m.- 6:30 p.m., E.S.T.
C0006_GCA0210HH KC0608
M0006_GCA0210HH KC0608