Update to Preventive Services Drug Coverage | 10/12/23
Learn about age-specific ranges we’ll be applying to preventive prescription drugs
How Does a Medication Become Part Of The Preferred Drug List? | 1/13/22
The Institute for Clinical and Economic Review and healthcare plans are using shared data and analytics to evaluate new medications.
New Pharmacy Prior Authorization Going Live On October 2, 2020 | 8/24/20
A fertility drug, Follistim, will now require prior authorization.
New Pharmacy Prior Authorizations Going Live On August 1, 2020 | 6/8/20
Some asthma and diabetes drugs will require prior authorization.
Specialty Pharmacy Changes for 2020: Individual Plans | 12/9/19
Find out important information about mandatory specialty pharmacy for individual plans next year.
What Happens When New Medicines Come to Market? | 1/27/20
This “watchdog on drug pricing” helps us to identify cost-effectiveness and value of drugs—ultimately helping safeguard your clients.
Members Can Review Year-to-Date Drug Expenses Online | 10/21/19
Our pharmacy benefits are coordinated by Express Scripts (ESI), which will notify members they can review out-of-pocket drug costs on the ESI website.
Formulary Updates for Metallic Plans | 10/7/19
Be informed about the latest updates to our metallic formularies.
Prior Authorization Update: Victoza | 8/26/19
A drug to treat type II diabetes will require prior authorization to be covered.
New Gene Therapy for Children | 7/8/19
Find out how we’re covering Zolgensma, a new drug to treat spinal muscular atrophy.
Prior Authorization Update | 6/24/19
Because there’s a more cost-effective choice, two drugs now require pre-approval to be covered.