HMO and PPO Updates May Commercial Results

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "HMO and PPO Updates May 2013- Commercial Results"

Transcription

1 HMO and PPO Updates May Commercial Results ELIQUIS Non Triple Tier Formular y 4th Tier Applicable Traditional Alternatives warfarin, Xarelto, Pradaxa TAMIFLU - EXPANDED INDICATION 2 No 2 No No None JUXTAPID Pending atorvastatin, simvastatin, Zetia, Crestor* VASCEPA 3 No 2 No Yes BOTOX/BOTOX COSMETIC *NEW INDICATION* Medical EDURANT 3 Yes 2 No Yes 4 Capsules per Day 1 tablet per day atorvastatin, fenofibrate, fluvastatin, gemfibrozil, lovastatin, pravastatin, simvastatin, Niaspan, Tricor, Trilipix, Lovaza oxybutynin, oxybutynin XL, tolterodine, trospium, Vesicare, Intelence, nevirapine, Rescriptor, Sustiva

2 HMO and PPO Updates May Commercial Results Triple Tier Formular y 4th Tier Applicable Traditional EXJADE *NEW INDICATION* 3 Yes 2 Yes No None KAZANO 3 No 2 Yes No NESINA 3 No 2 Yes No OSENI 3 No 2 Yes No POMALYST 3 Yes 2 Yes Yes AUVI-Q 2 No 2 No Yes ABILIFY MAINTENA Medical 21 tablets per 28 days 2 autoinjectors per fill Alternatives pioglitazone, Januvia*, Janumet, Janumet XR pioglitazone, Januvia*, Janumet, Janumet XR pioglitazone, Januvia*, Janumet, Janumet XR Revlimid, Thalomid EpiPen Abilify, olanzapine, quetiapine, Seroquel XR, risperidone, ziprasidone

3 HMO and PPO Updates May Commercial Results Triple Tier Formular y 4th Tier Applicable Traditional Alternatives ZORTRESS 3 Yes 2 Yes No azathioprine, mycophenolate mofetil, Gengraf, Rapamune, tacrolimus, Cellcept, Prograd, Neoral, Sandimmune JETREA Medical None KADCYLA Medical Tykerb, Xeloda STIVARGA *NEW INDICATION* 3 Yes 2 Yes Yes 120 per 30 days Gleevec, Sutent

4 GHP Family Member Updates May GHP Family Results GHP Family Tier Detailed Limits ABILIFY MAINTENA Medical Yes AUVI-Q No Yes 2 per fill EpiPen ELIQUIS Non Non No No Pradaxa (PA), Xarelto (PA) - PA = JETREA Medical Yes JUXTAPID Non Non No No Atorvastatin, Simvastatin, Zetia KADCYLA Medical Yes KAZANO Brand Yes No NESINA Brand Yes No OSENI Brand Yes No Tykerb and Xeloda (ST), metformin ER (ST), metformin ER (ST), metformin ER

5 GHP Family Member Updates May GHP Family Results GHP Family Tier Detailed Limits POMALYST Yes Yes VASCEPA Non Non ZORTRESS Brand Yes No 21 per 28 days Revlimid fenofibrate, gemfibrozil, lovastatin, mycophenolate, Gengraf, Rapamune

6 GOLD Member Updates May Part D (Gold) Updates $0 Deductible Standard 2013 y Limit AUVI-Q Brand Preferred 25% coinsurance No Yes 2 devices (1 box) per fill Epipen BOTOX/BOTOX COSMETIC *NEW INDICATION* ELIQUIS JETREA JUXTAPID Non Non Medical Non warfarin, Pradaxa, Xarelto atorvastatin, simvastatin, Zetia, Crestor KADCYLA Speciality KAZANO Non 25% coinsurance Yes No TYKERB METFORMIN, METFORMIN XR, PIOGLITAZONE, JANUVIA, JANUMET, JANUMET XR

7 $0 Deductible Standard 2013 y Limit VASCEPA Brand Non Preferred 25% coinsurance No Yes 120 capsules every 30 days atorvastatin, fenofibrate, fluvastatin, gemfibrozil, lovastatin, pravastatin, simvastatin, Lovaza, Niaspan, Trilipix

8 EDURANT $0 Deductible Standard y Limit 30 tablets every 30 days TAMIFLU - EXPANDED INDICATION 5 days supply every 6 months EXJADE *NEW INDICATION* ZORTRESS move to Speciality Tier for STIVARGA *NEW INDICATION* ABILIFY MAINTENA move to Speciality Tier for

May 2015 P&T Updates. Prior Authorization. Traditional. Formulary. Yes No. Formulary. Non Formulary. Non Formulary. Non Formulary

May 2015 P&T Updates. Prior Authorization. Traditional. Formulary. Yes No. Formulary. Non Formulary. Non Formulary. Non Formulary Commercial Triple Tier 4th Tier Applicable Traditional s EVOTAZ 2 2 Alternatives Flovent Diskus/HFA, Pulmicort Flexhaler, Qvar, Asmanex HFA eszopiclone, zaleplon, zolpidem, amitriptyline, mirtazapine,

More information

612 Program Midtown Express Pharmacy

612 Program Midtown Express Pharmacy ALENDRONATE SOD TAB 35MG (max 1 per week) $37.00 $70.00 ALENDRONATE SOD TAB 70MG (max 1 per week) $37.00 $70.00 ALLOPURINOL TAB 100MG $20.00 $38.00 ALLOPURINOL TAB 300MG $20.00 $38.00 AMITRIPTYLINE TAB

More information

SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions

SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions With Dickinson College s Value Based Insurance Design (VBID) If you have an ongoing condition, you can live well. You will need to

More information

Prescription Drug Utilization and Cost Trends, 2009-2013

Prescription Drug Utilization and Cost Trends, 2009-2013 Agenda Item 7 Attachment 1 Prescription Drug Utilization and Cost Trends, 2009-2013 Pension and Health Benefits Committee October 14, 2014 Melissa Mantong, PharmD CalPERS Pharmacist Overview Trends in

More information

MEDICATION(S) SUBJECT TO STEP THERAPY

MEDICATION(S) SUBJECT TO STEP THERAPY ACE/ARB COMBO AZOR 5-20 MG TABLET, AZOR 5-40 MG TABLET, BENICAR HCT, MICARDIS HCT, TARKA, TEKTURNA HCT, TELMISARTAN-HYDROCHLOROTHIAZID, TRIBENZOR Claims for formulary step 2 ACE Inhibitor combination products

More information

Monthly Copays. Union Copays Crestor 20MG - Tier 2,10% Eliquis 5mg - Tier 3, 20% Non-Union Copays Crestor 20MG - Tier 2, $25

Monthly Copays. Union Copays Crestor 20MG - Tier 2,10% Eliquis 5mg - Tier 3, 20% Non-Union Copays Crestor 20MG - Tier 2, $25 Introduction: MCSMeds is an international mail order option for eligible Employees, Retirees and Dependents of Muncie Community Schools. Your list of qualified maintenance medications is on the reverse.

More information

Drug Formulary Update, July 2013

Drug Formulary Update, July 2013 Drug Formulary Update, July 2013 Updates to the HealthPartners Drug Formularies are listed below. Updates for the Commercial Drug Formularies and the Minnesota Health Care Programs (Medicaid and Minnesota

More information

Pharmacy benefit guide

Pharmacy benefit guide FlexRx SM 4-Tier Pharmacy benefit guide 1 Welcome to FlexRx The NHP FlexRx SM program is built for choice, savings, and convenience with benefits including: Low-cost drug tier for many common medications

More information

UnitedHealthcare Group Medicare Advantage (PPO)

UnitedHealthcare Group Medicare Advantage (PPO) Your Plan Explained UnitedHealthcare Group Medicare Advantage (PPO) UHEX11MP3230855_001 Y0066_100616_09113 Your Medicare. This brochure explains your Medicare Advantage plan, a type of health plan also

More information

ALTACE 5 MG CAPSULE $3.88 RAMIPRIL 5 MG CAPSULE $ $23.94 DILTIAZEM 24HR CD 120 MG CAP $29.35 DILTIAZEM 24HR CD 180 MG CAP

ALTACE 5 MG CAPSULE $3.88 RAMIPRIL 5 MG CAPSULE $ $23.94 DILTIAZEM 24HR CD 120 MG CAP $29.35 DILTIAZEM 24HR CD 180 MG CAP National (NADAC) Retail Pharmacies in the US Paid for Brand Name and Generic Medications in Based on the NADAC list for 9, Brand Name Medication ACTOS 15 MG $11.03 PIOGLITAZONE HCL 15 MG ACTOS 30 MG $16.80

More information

Burlington Scripts Vs. Current local purchase plan. Current Copays

Burlington Scripts Vs. Current local purchase plan. Current Copays Introduction: Burlington Scripts is a voluntary prescription drug program that is available to eligible Employees, Retirees and their Dependents of the Town of Burlington, MA. For your convenience, a list

More information

July 2015 P & T Updates

July 2015 P & T Updates Commercial Triple Tier 4th Tier Applicable Traditional CORLANOR 3 2 2 tablets per day GLYXAMBI 3 2 1 tablet per day Alternatives carvedilol, bisoprolol, metoprolol succinate, digoxin, hydralazine, isosorbide

More information

2016 Step Therapy Criteria

2016 Step Therapy Criteria 2016 Step Therapy Criteria ANGIOTENSIN RECEPTOR BLOCKERS... 8 benazepril... 8 benazepril/amlodipine besylate... 8 benazepril/hctz... 8 captopril... 8 captopril/hctz... 8 enalapril... 8 enalapril maleate/hctz...

More information

Medicare Part D. Take Control of Your Prescription Drug Costs. Inside: information you need to enroll.

Medicare Part D. Take Control of Your Prescription Drug Costs. Inside: information you need to enroll. 2010 Take Control of Your Prescription Drug Costs Medicare Part D Inside: information you need to enroll. IBPDP3179522_XACE000 C0009_PDP3179522_000 When you are ready to enroll: Call 1-866-804-3860, TTY

More information

Monthly Copays. Medications must be tried for 30 days before ordering through Aspire Indiana CanaRx.

Monthly Copays. Medications must be tried for 30 days before ordering through Aspire Indiana CanaRx. Introduction: Aspire Indiana CanaRx is an international mail order option for eligible Employees and their Dependents of Aspire Indiana, Inc. For your convenience, a list of eligible medications is located

More information

2015 Formulary Addendum Notice of Change

2015 Formulary Addendum Notice of Change 2015 Formulary Addendum Notice of Change Prescription Drug Plans WellCare Prescription Insurance, Inc. WellCare Extra (PDP) This is a listing of the changes that have occurred in our formulary. Please

More information

NLPDP Coverage Status Table December 2015. Initial and maintenance fills are limited to a maximum 30 days

NLPDP Coverage Status Table December 2015. Initial and maintenance fills are limited to a maximum 30 days Coverage Table December 2015 02238646 282 MEP TABLET OPEN No 500 0.2103 02234510 282 TABLET OPEN No 500 0.0726 02238645 292 TABLET OPEN No 50 0.1877 02192691 3TC 10 MG/ML SOLUTION OPEN No 240 0.3454 02192683

More information

QUANTITY LIMITS TABLE

QUANTITY LIMITS TABLE S TABLE / TABLA DE ABILIFY ARIPIPRAZOLE ORAL SOLUTION 900 ML IN 30 DAYS ABILIFY DISCMELT 10 MG ARIPIPRAZOLE TAB RAPDIS 30 TABS IN 30 DAYS ABILIFY DISCMELT 15 MG ARIPIPRAZOLE TAB RAPDIS 60 TABS IN 30 DAYS

More information

Health Insurance Marketplace in Illinois Plan Comparison Charts

Health Insurance Marketplace in Illinois Plan Comparison Charts 2015 Independent Authorized Agent for An Independent Licensee of the Blue Cross Blue Shield Association Health Insurance Marketplace in Illinois Plan Comparison Charts preventive services and maternity

More information

Medications Requiring Prior Authorization for Medical Necessity

Medications Requiring Prior Authorization for Medical Necessity January 2015 Medications Requiring Medical Necessity Below is a list of medicines by drug class that will not be covered without a prior authorization for medical necessity, effective January 1, 2015.

More information

Financial Information for Kidney and/or Pancreas Transplantation

Financial Information for Kidney and/or Pancreas Transplantation Financial Information for Kidney and/or Pancreas Transplantation Transplantation is an expensive treatment for kidney and/or pancreas disease and it is important for you to plan ahead and be well informed

More information

Vantage Health Plan. Nationwide Coverage. Nationwide Care. Nationwide Service. 2016 OGB Medical Home HMO Plan. OGB Approved. VHP517 R090415 Approved

Vantage Health Plan. Nationwide Coverage. Nationwide Care. Nationwide Service. 2016 OGB Medical Home HMO Plan. OGB Approved. VHP517 R090415 Approved Vantage Health Plan 2016 OGB Medical Home HMO Plan Nationwide Coverage. Nationwide Care. Nationwide Service. VHP517 R090415 Approved OGB Approved Welcome to Vantage Dear OGB Member: Vantage Health Plan

More information

Alla chme nl A EFFECTIVE 07/01/2014 BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA

Alla chme nl A EFFECTIVE 07/01/2014 BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA A. Re-Review 1. Bethkis ANTIBIOTICS, INHALED BETHKIS (tobramycin) TOBI (tobramycin) 2. Effient CAYSTON (aztreonam) TOBI POOHALER tobramycin PLATELET AGGREGATION INHIBITORS AGGRENOX (dipyridamole/asa) BRIUNTA

More information

Financial Aspects of Kidney and/or Pancreas Transplantation

Financial Aspects of Kidney and/or Pancreas Transplantation Financial Aspects of Kidney and/or Pancreas Transplantation Transplantation is an expensive treatment for renal and/or pancreas disease and it is important for you to plan ahead and be well informed of

More information

N/A N/A N/A. Supporting statement of diagnosis from the N/A. physician and documented trial of 1 generic. formulary alternative

N/A N/A N/A. Supporting statement of diagnosis from the N/A. physician and documented trial of 1 generic. formulary alternative Actimmune Amlodipine Androderm Anticonvulsant Antidepressants Antineoplastics Antipsychotics Arcalyst Butalbital Colony Stimulating Factors ESRD Therapy Actimmune Norvasc Androderm Banzel Keppra Mysoline

More information

Small Group Plan Options HMO

Small Group Plan Options HMO HMO Platinum Plans These plans will cover about 90% of your service and you are responsible for the other 10% Benefits Platinum Platinum Platinum 25 / 50 / 500 HMO 20 / 40 / 1000 HMO 20 / 40 HMO Deductible

More information

Price Increases for Brand Name Prescription Drugs Since October 2012

Price Increases for Brand Name Prescription Drugs Since October 2012 Price Increases for Brand Name Prescription Drugs Since October 2012 Medication and Dose * * ABILIFY 1 MG/ML SOLUTION $4.15 $6.32 52.32% ABILIFY 10 MG TABLET $18.76 $29.12 55.25% ABILIFY 15 MG TABLET $18.70

More information

FINANCE AND INSURANCE. Financial Aspects of Lung Transplantation

FINANCE AND INSURANCE. Financial Aspects of Lung Transplantation FINANCE AND INSURANCE Financial Aspects of Lung Transplantation Transplantation is a costly treatment for lung disease and it is important for you to plan ahead and be well informed of your needs and your

More information

2016 BlueChoice HealthPlan Prescription Drug List

2016 BlueChoice HealthPlan Prescription Drug List 2016 BlueChoice Healthlan rescription Drug List Important Information About This List This is not a comprehensive list of all drugs covered under your prescription drug benefit. Not all benefit plans cover

More information

Aetna 2015 Formulary updates for self insured and custom fully insured commercial plans

Aetna 2015 Formulary updates for self insured and custom fully insured commercial plans Key: #- ; $0^-Health Care Reform Zero-Dollar; OTC-Over-the-Counter abacavir PB SPB Moved to Specialty abacavir/lamivudine/ PB SPB Moved to Specialty zidovudine ABILIFY (PA, ST) 3 3 olanzapine, quetiapine,

More information

CareATC Generic Formulary Medications Available (2015)

CareATC Generic Formulary Medications Available (2015) Allergic Reactions EPINEPHRINE** Ephinephrine, EpiPen CETIRIZINE 10MG Zyrtec FEXOFENADINE180MG TABS 100ct Allegra Allergies LORATADINE 10MG Claritin MONTELUKAST 4MG 30CT Singulair PROMETHAZINE 25MG AMP

More information

Medicines for Treating Mental Health Conditions. A Review of the Research for Adults and Caregivers

Medicines for Treating Mental Health Conditions. A Review of the Research for Adults and Caregivers Medicines for Treating Mental Health Conditions A Review of the Research for Adults and Caregivers Is This Information Right for Me? This information is for you if: A doctor has suggested one of these

More information

PHARMACY BENEFIT UPDATE Summer/Fall 2013 Issue. Preferred Drug List (PDL) News

PHARMACY BENEFIT UPDATE Summer/Fall 2013 Issue. Preferred Drug List (PDL) News PHARMACY BENEFIT UPDATE Summer/Fall 2013 Issue Preferred Drug List (PDL) News A._PDL Changes This issue of the Pharmacy Benefit Updates contains recent changes to the Preferred Drug List as well as updates

More information

AGENDA. State and Public School Life and Health Insurance Board 01/30/2014. 1:00 p.m. EBD Board Room 501 Building, Suite 500

AGENDA. State and Public School Life and Health Insurance Board 01/30/2014. 1:00 p.m. EBD Board Room 501 Building, Suite 500 AGENDA State and Public School Life and Health Insurance Board 01/30/2014 1:00 p.m. EBD Board Room 501 Building, Suite 500 I. Call to Order John Kirtley, Chair II. Introduction of New Board Members Bob

More information

2016 New Mexico Medicare Advantage Plan Changes

2016 New Mexico Medicare Advantage Plan Changes 2016 New Mexico Medicare Advantage Plan Changes Annual benefits changes for Medicare Advantage plan members will be effective January 1, 2016. Each year, we renew our contract with the Centers for Medicare

More information

Revised Atenolol Sandoz TGA date change only Revised Sandoz Fenezal From Sandoz Flufeme to Flufeme 150 mg capsule

Revised Atenolol Sandoz TGA date change only Revised Sandoz Fenezal From Sandoz Flufeme to Flufeme 150 mg capsule Prochlorperazine-GA Oxaliplatin Kabi PFI Lactocur Kepcet Irinotecan Alphapharm Galantyl Diltiazem Sandoz Oxytocin Aspen Injection Vinorelbine Kabi Water for Injections Freeflex Juvederm Voluma XC Modavigil

More information

Listing does not indicate formulary coverage. Please refer to membership materials to determine if medication is covered under your selected plan.

Listing does not indicate formulary coverage. Please refer to membership materials to determine if medication is covered under your selected plan. ACCUNEB Inhalation SOLN ACETYLCYSTEINE VIAL ALBUTEROL 0.083% INHAL SOLN ALBUTEROL 5 MG/ML ALBUTEROL SUL Inhalation SOL ANZEMET ATGAM 50 MG/ML AMPUL AZASAN AZATHIOPRINE VIAL AZATHIOPRINE BLEOMYCIN SULFATE

More information

Diabetes Mellitus Type 2

Diabetes Mellitus Type 2 Diabetes Mellitus Type 2 What is it? Diabetes is a common health problem in the U.S. and the world. In diabetes, the body does not use the food it digests well. It is hard for the body to use carbohydrates

More information

PROJECT LIST GENERIC PRODUCTS

PROJECT LIST GENERIC PRODUCTS PROJECT LIST GENERIC PRODUCTS Acetylcysteine, Effervescent tablets 200 mg, 600 mg Alendronate sodium, Tablets 10, 70 mg Alfuzosin,Tablets 2.5mg Alfuzosin, ER Tablets 10 mg Ambroxol, Effervescent tablets

More information

WV Public Employees Insurance Agency (PEIA)

WV Public Employees Insurance Agency (PEIA) Approved Changes for Plan Year 2013 (July 1, 2012 June 30, 2013) The WV PEIA Finance Board recommended several changes to the PEIA PPB Plan structure for the upcoming fiscal year, effective July 1, 2012,

More information

Prescription Drug Benefit

Prescription Drug Benefit Prescription Drug Benefit The Cleveland Clinic Employee Health Plan (EHP) Total Care Prescription Drug Benefit is administered through CVS Caremark. CVS Caremark has a dedicated, toll-free Customer Service

More information

Formulary Drug Removals

Formulary Drug Removals January 2015 Below is a list of medicines by drug class that have been removed from your plan s formulary. This list is effective January 1, 2015. If you continue using one of the drugs listed below and

More information

Cholesterol and Triglycerides What You Should Know

Cholesterol and Triglycerides What You Should Know Cholesterol and Triglycerides What You Should Know Michael T. McDermott MD Professor of Medicine Endocrinology Practice Director Division of Endocrinology, Metabolism and Diabetes University of Colorado

More information

Medication Therapy for Heart Disease. Bhamini Patel, PharmD, BCPS Clinical Pharmacist

Medication Therapy for Heart Disease. Bhamini Patel, PharmD, BCPS Clinical Pharmacist Medication Therapy for Heart Disease Bhamini Patel, PharmD, BCPS Clinical Pharmacist Objectives Review Conditions that affect the Heart High Blood Pressure, Hyperlipidemia and Diabetes Review Medications

More information

High Cholesterol and Heart Disease

High Cholesterol and Heart Disease Evaluating statin drugs to treat: High Cholesterol and Heart Disease Comparing Effectiveness, Safety, and Price Contents 2: Our recommendations 4: Welcome 7: Who should take a statin drug? 10: Choosing

More information

News & Views. Dose Optimization Limitations for Mental Health Medications

News & Views. Dose Optimization Limitations for Mental Health Medications Maryland Medicaid Pharmacy Program News & Views May 2010 Maryland Department of Health and Mental Hygiene /Office of Systems, Operations and Pharmacy Antipsychotics on Maryland Medicaid PDL and Coverage

More information

How to use your pharmacy benefits for better health

How to use your pharmacy benefits for better health cholestyramine fenofibrate gemfibrozil lovastatin pravastatin sodium simvastatin Crestor Niaspan Simcor Tricor Vytorin Frequently Asked Questions about Preventive Care Drugs High Cholesterol alendronate

More information

Omega-3 Fatty Acid Products

Omega-3 Fatty Acid Products Omega-3 Fatty Acid Products Policy Number: 5.01.563 Last Review: 7/2016 Origination: 6/2014 Next Review: 7/2017 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for the

More information

Specialty Drug Program RX Benefit Member Guide

Specialty Drug Program RX Benefit Member Guide Specialty Drug Program RX Benefit Member Guide bcbsm.com Enrollment Form for Walgreens Specialty Pharmacy, LLC. How to place your initial order with Walgreens Specialty Pharmacy: 1) Print and complete

More information

10/11/2014. Laura C. Halder, Pharm.D. Postgraduate Year Two Pharmacy Resident Cardiology Abbott Northwestern Hospital Allina Health October 30, 2014

10/11/2014. Laura C. Halder, Pharm.D. Postgraduate Year Two Pharmacy Resident Cardiology Abbott Northwestern Hospital Allina Health October 30, 2014 Laura C. Halder, Pharm.D. Postgraduate Year Two Pharmacy Resident Cardiology Abbott Northwestern Hospital Allina Health October 30, 2014 1 1. List two major changes to the 2013 cholesterol treatment guidelines.

More information

2014 Medical Plans. Health Net Blue & Gold HMO Kaiser HMO UC Care Blue Shield Health Savings Plan Core

2014 Medical Plans. Health Net Blue & Gold HMO Kaiser HMO UC Care Blue Shield Health Savings Plan Core 2014 Medical Plans Health Net Blue & Gold HMO Kaiser HMO UC Care Blue Shield Health Savings Plan Core UC Care PPO Blue Shield of California claims administrator & network UC Select Providers Customized

More information

PRAC recommendations on signals

PRAC recommendations on signals 25 June 2015 EMA/PRAC/383371/2015 Pharmacovigilance Risk Assessment Committee Adopted at the PRAC meeting of 8-11 June 2015 This document provides an overview of the recommendations adopted by the Pharmacovigilance

More information

May 31, 2013. Ms. Debra Lansey American College of Physicians 190 North Independence Mall West Philadelphia, PA 19106

May 31, 2013. Ms. Debra Lansey American College of Physicians 190 North Independence Mall West Philadelphia, PA 19106 P.O. Box 30449 Salt Lake City, UT 84130-0449 May 31, 2013 Ms. Debra Lansey American College of Physicians 190 North Independence Mall West Philadelphia, PA 19106 Re: Pharmacy Benefit Coverage Changes Effective

More information

2016 Texas Medicare Advantage Plan Changes

2016 Texas Medicare Advantage Plan Changes 2016 Texas Medicare Advantage Plan Changes Annual benefits changes for Medicare Advantage plan members will be effective January 1, 2016. Each year, we renew our contract with the Centers for Medicare

More information

Approximate Cost Reference List i for Antihyperglycemic Agents

Approximate Cost Reference List i for Antihyperglycemic Agents Alpha Glucosidase Inhibitor Acarbose (Glucobay ) Biguanides Metformin (Glucophage, generic) Metformin ER (Glumetza ) Approximate Cost Reference List i for Antihyperglycemic Agents Incretin Agents - DPP-4

More information

HELPFUL TIPS WHEN FACING CHRONIC HEPATITIS C

HELPFUL TIPS WHEN FACING CHRONIC HEPATITIS C HELPFUL TIPS WHEN FACING CHRONIC HEPATITIS C STAYING PROACTIVE DURING TREATMENT No matter how chronic hepatitis C (genotype 1) entered your life, there are things you can do to stay proactive while you

More information

BlueSaver Generic Preventive Care Drug Program List

BlueSaver Generic Preventive Care Drug Program List An independent licensee of the Blue Cross and Blue Shield Association. BlueSaver Generic Preventive Care Drug Program List Preventive care drugs are drugs that can help keep you from developing a health

More information

PL CE LIVE December 2011 Forum

PL CE LIVE December 2011 Forum December 2011 PL CE LIVE Kristin W. Weitzel, Pharm.D., CDE, FAPhA Associate Editor Pharmacist s Letter/Prescriber s Letter CE Information Pharmacist's Letter / Therapeutic Research Center is accredited

More information

September 2014. Strategy or Medications Added or Modified Remove belladonna alkaloidsphenobarbital. Therapeutic Class/Drug Name.

September 2014. Strategy or Medications Added or Modified Remove belladonna alkaloidsphenobarbital. Therapeutic Class/Drug Name. The following changes to the Neighborhood formulary were recently approved by the Pharmacy and s (P&T) Committee. These changes are effective immediately unless otherwise indicated. Belladonna alkaloidsphenobarbital

More information

2015 Medicare Part D Step Therapy Requirements. Effective: November 01, 2015

2015 Medicare Part D Step Therapy Requirements. Effective: November 01, 2015 2015 Medicare Part D Step Therapy Requirements Effective: November 01, 2015 Formulary ID 15293, Version 17 Last Updated: 10/27/2015 BISPHOSPHONATE THERAPY ACTONEL 30 MG TABLET ACTONEL 35 MG TABLET ACTONEL

More information

Initiation and Adjustment of Insulin Regimens

Initiation and Adjustment of Insulin Regimens Start with bedtime intermediateacting insulin or bedtime or morning long-acting insulin (can initiate with 10 units or 0.2 units per kg) Initiation and Adjustment of Insulin Regimens Insulin regimens should

More information

State of Louisiana. Department of Health and Hospitals Bureau of Health Services Financing

State of Louisiana. Department of Health and Hospitals Bureau of Health Services Financing Bobby Jindal GOVERNOR State of Louisiana Department of Health and Hospitals Bureau of Health Services Financing Kathy H. Kliebert SECRETARY The purpose of this memo is to advise you that effective September

More information

Compass Professional Health Services. Healthcare Consumer Tools and Support for You and Your Family

Compass Professional Health Services. Healthcare Consumer Tools and Support for You and Your Family Compass Professional Health Services Healthcare Consumer Tools and Support for You and Your Family Medical Care Can Be Frustrating I had no idea this procedure would be so expensive. Why are my bills so

More information

What is high cholesterol?

What is high cholesterol? Statin medicines This brochure gives you information on high cholesterol and the medicines most commonly used to manage it. You ll learn how these medicines compare and get important information about

More information

PEEHIP Step Therapy List

PEEHIP Step Therapy List PEEHIP Step Therapy List PEEHIP utilizes the following Step Therapy programs to ensure that prescription use by PEEHIP members is safe and affordable. As a PEEHIP member, you should be aware of the following

More information

Extra Value Drug List. *

Extra Value Drug List. * List. * Brand Diabetes Levemir 100 units/ml Vial 10mL $122.29 Levemir FlexPen 100 units/ml 15mL $203.03 NovoLog 100 units/ml Vial 10mL $116.84 NovoLog FlexPen Syringe 15mL $222.41 NovoLog 100 units/ml

More information

Medicare Part D Plans Deliver Significant Savings on Innovative, Breakthrough Medicines

Medicare Part D Plans Deliver Significant Savings on Innovative, Breakthrough Medicines Medicare Part D Plans Deliver Significant Savings on Innovative, Breakthrough Medicines Survey Finds Private Sector Negotiations Provide Both Savings and Choice, Making Government Interference Unnecessary

More information

Anthem Blue MedicareRx Standard (PDP) 2015 Formulary (List of Covered Drugs)

Anthem Blue MedicareRx Standard (PDP) 2015 Formulary (List of Covered Drugs) Anthem Blue MedicareRx Standard (PDP) 0 Formulary (List of Covered s) Please read: This document contains information about some of the drugs we cover in this plan. This formulary was updated on August,

More information

Patient Assistance Program Medication List. TRADE NAME Strength treatment Max Qty price

Patient Assistance Program Medication List. TRADE NAME Strength treatment Max Qty price Patient Assistance Program Xubex offers assistance to qualified individuals for generic medications through its innovative program. A licensed pharmacist in the United States fills all prescriptions with

More information

$243.41 $34.69 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 26 $ 212.88

$243.41 $34.69 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 26 $ 212.88 Marketplace plans that were available in Coverage years and/or 2015. 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze 0-20 $ 132.01 $153.95 $21.94 16.62% 29497DE0090001 Aetna Bronze $15 Copay PPO Bronze

More information

REVISING SPECIALTY TIERS

REVISING SPECIALTY TIERS WHITE PAPER REVISING SPECIALTY TIERS PROTECTING MEDICARE PART D BENEFICIARIES FROM BURDENSOME COST SHIFTING Gary G., Michigan Gary thought he had his financial assistance grant set up to cover his out-of-pocket

More information

Group Health Core Flex Bronze AIAN (no cost share)

Group Health Core Flex Bronze AIAN (no cost share) Group Health Core Flex Bronze AIAN (no cost share) If you are American Indian or Alaska Native (AIAN), you may be eligible for this health plan. Covered services are provided at no charge, and you have

More information

Compass Professional Health Services. Healthcare Consumer Tools and Support for You and Your Family

Compass Professional Health Services. Healthcare Consumer Tools and Support for You and Your Family Compass Professional Health Services Healthcare Consumer Tools and Support for You and Your Family Medical Care Can Be Frustrating I had no idea this procedure would be so expensive. Why are my bills so

More information

Video Stories at Be Smart. Be Well. Address the Childhood Obesity Epidemic

Video Stories at Be Smart. Be Well. Address the Childhood Obesity Epidemic May 2009 What s Inside? 2008 HMO PCP & PPO Practitioner Survey Results... 4 BlueCard Tip: Medical Records.. 5 Pharmacy Program Updates... 2 esolutions Workshop and Vendor Exhibit... 3 Workshop Schedule...

More information

Statins for Hyperlipidemia (High Cholesterol)

Statins for Hyperlipidemia (High Cholesterol) Statins for Hyperlipidemia (High Cholesterol) Examples of statin drugs Brand Name Mevacor Pravachol Zocor Lescol, Lescol XL Lipitor Crestor Chemical Name lovastatin pravastatin sodium simvastatin fluvastatin

More information

Avoid paying too much for your prescriptions

Avoid paying too much for your prescriptions Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2016 Aetna Rx Step Program Medicine List Avoid paying too much for your prescriptions It s important to try to

More information

Members enjoy more Pharmacy savings *

Members enjoy more Pharmacy savings * Sam s Plus Members enjoy more Pharmacy savings 5 prescription drugs available for FREE Generic medications: Donepezil, Pioglitazone, Escitalopram, Finasteride and Vitamin D2 50,000IU are $ 0 for a 30-day

More information

Community TouchPoint

Community TouchPoint Community TouchPoint Advice from a Pharmacist: Vitamins, Supplements, and Medication Safety Cassie Spray, PharmD Clinical Pharmacist Kathryn Hauenstein, PharmD PGY1 Community Pharmacy Resident Megan Kline,

More information

2014 Medicare Part D Formulary Change

2014 Medicare Part D Formulary Change 2014 Medicare Part D Formulary Change We may add or remove drugs from our formulary during the year. If we remove drugs from our formulary, or add prior authorizations, quantity limits and/or step therapy

More information

Cardiology Medications New Drugs, New Guidelines

Cardiology Medications New Drugs, New Guidelines Cardiology Medications New Drugs, New Guidelines Ken Kester, PharmD, JD Pharmacy Team Leader Nebraska Heart Hospital August 4, 2014 Cardiology Medications Objectives The attendee will understand Indications,

More information

www.shopcabrokers.com 1-866-98-COVER [26837]

www.shopcabrokers.com 1-866-98-COVER [26837] Sharp Health Plan is proud to be selected as a Covered California health insurance plan. Our successful track record in San Diego County for providing innovative and affordable health coverage aligns with

More information

Medicare Advantage Outreach and Education Bulletin

Medicare Advantage Outreach and Education Bulletin Medicare Advantage Outreach and Education Bulletin Blue Cross and Blue Shield of Georgia 2016 Georgia Medicare Advantage Plan Changes Dear Healthcare Provider, Annual benefits changes for Medicare Advantage

More information

High Blood Cholesterol

High Blood Cholesterol National Cholesterol Education Program ATP III Guidelines At-A-Glance Quick Desk Reference 1 Step 1 2 Step 2 3 Step 3 Determine lipoprotein levels obtain complete lipoprotein profile after 9- to 12-hour

More information

$10.00 PRESCRIPTION PROGRAM DETAILS

$10.00 PRESCRIPTION PROGRAM DETAILS $10.00 PRESCRIPTION PROGRAM DETAILS 1. The $10.00 program applies only to certain generic drugs at commonly prescribed 90 day usage dosages. (See list). 2. The Program may change without notification and

More information

PART 3 EXCEPTION DRUG STATUS (EDS)

PART 3 EXCEPTION DRUG STATUS (EDS) PART 3 EXCEPTION DRUG STATUS (EDS) Certain drugs are approved for coverage under the Exception Drug Status (EDS) Program when they meet specific criteria and upon review and recommendation of the Manitoba

More information

November 5, 2015 Quarterly pharmacy formulary change notice

November 5, 2015 Quarterly pharmacy formulary change notice November 5, 2015 Quarterly pharmacy formulary change notice The formulary changes listed in the table below were reviewed and approved at the 2nd Quarter Pharmacy and Therapeutics (P&T) Committee meetings

More information

Formulary/ Formulario (List of Covered Drugs) / (List de medicinas cubiertas) Utah

Formulary/ Formulario (List of Covered Drugs) / (List de medicinas cubiertas) Utah 2016 Formulary/ Formulario (List of Covered Drugs) / (List de medicinas cubiertas) Utah Molinamarketplace.com Molina Utah Marketplace 7/1/16 Drug Name ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS Amphetamines

More information

MEDICATIONS COMMONLY USED IN CHRONIC KIDNEY DISEASE. HealthPartners Kidney Health Clinic 2011

MEDICATIONS COMMONLY USED IN CHRONIC KIDNEY DISEASE. HealthPartners Kidney Health Clinic 2011 MEDICATIONS COMMONLY USED IN CHRONIC KIDNEY DISEASE HealthPartners Kidney Health Clinic 2011 People with chronic kidney disease (CKD) require multiple medications. This handout will help explain the reason

More information

Alameda Alliance for Health SPECIALTY PHARMACY PROGRAM FOR ALLIANCE MEDI-CAL AND GROUP CARE MEMBERS PROGRAM DESCRIPTION

Alameda Alliance for Health SPECIALTY PHARMACY PROGRAM FOR ALLIANCE MEDI-CAL AND GROUP CARE MEMBERS PROGRAM DESCRIPTION Alameda Alliance for Health SPECIALTY PHARMACY PROGRAM FOR ALLIANCE MEDI-CAL AND GROUP CARE MEMBERS PROGRAM DESCRIPTION Contents Page Program Overview 1 Process for Obtaining Authorization 2 Contacts 2

More information

PHARMACOTHERAPY UPDATE

PHARMACOTHERAPY UPDATE PHARMACOTHERAPY UPDATE Benjamin Gross, Pharm D, BCPS, BCACP, BC ADM, CDE Associate Professor Director of Residency Programs Lipscomb University College of Pharmacy and Health Sciences 1 DISCLOSURE I DO

More information

Daclatasvir (Daklinza)

Daclatasvir (Daklinza) FACTSHEET Daclatasvir (Daklinza) Summary Daclatasvir (Daklinza) is a medication used to treat hepatitis C. It is taken with sofosbuvir (Sovaldi) and sometimes ribavirin. This combination is approved in

More information

Cholesterol and Human Health

Cholesterol and Human Health Cholesterol and Human Health Hongbao Ma Department of Medicine, Michigan State University, East Lansing, Michigan 48824, USA hongbao@msu.edu, (517) 432-0623 Abstract: Cholesterol plays a major role in

More information

Service AvMed Cigna Leon Cares Humana HMO Humana PPO UnitedHealthcare. Out-of- Network

Service AvMed Cigna Leon Cares Humana HMO Humana PPO UnitedHealthcare. Out-of- Network 2016 Medicare Advantage Plans Comparison Chart This comparison chart is a side-by-side representation of services offered through the AvMed, Cigna, UHC, and Humana Medicare Advantage Plans for both in-network

More information

HPMS Approved Formulary File Submission ID: 00016311, Version Number 6.

HPMS Approved Formulary File Submission ID: 00016311, Version Number 6. UPMC for Life 2016 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. HPMS Approved Formulary File Submission ID: 00016311, Version

More information

Medicines Used to Treat Type 2 Diabetes

Medicines Used to Treat Type 2 Diabetes Goodman Diabetes Service Medicines Used to Treat Type 2 Diabetes People who have type 2 diabetes may need to take medicine to help lower their blood glucose, in addition to being active & choosing healthy

More information

New Treatments. For Bipolar Disorder. Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine

New Treatments. For Bipolar Disorder. Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine New Treatments For Bipolar Disorder Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine Abbott Laboratories AstraZeneca Bristol-Myers Squibb Corcept

More information

Clinically Significant Drug Interactions: When Not to Roll the Dice

Clinically Significant Drug Interactions: When Not to Roll the Dice Clinically Significant Drug Interactions: When Not to Roll the Dice Melissa Ranieri, PharmD Clinical Associate Professor Temple University School of Pharmacy Disclosures I have no relevant financial relationships

More information

Avoid paying too much for your prescriptions 2015 Aetna Rx Step Program Medicine List

Avoid paying too much for your prescriptions 2015 Aetna Rx Step Program Medicine List Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Avoid paying too much for your prescriptions 2015 Aetna Rx Step Program Medicine List 05.03.392.1 C (10/14) It

More information

Health Insurance 101. A brief overview of health insurance 10/15/09

Health Insurance 101. A brief overview of health insurance 10/15/09 Health Insurance 101 A brief overview of health insurance 10/15/09 Health Care vs. Health Insurance Health Care is Provision of Medical Services by Private Physicians and Hospitals (private pay or insurance)

More information