Updates to Existing Prior Authorization Programs
Drug | Plan | Eff. date | Policy & Additional Information |
Cresemba (isavuconazonium) capsule | Tufts Health RITogether | Sept. 1, 2023 | Cresemba (isavuconazonium) capsule |
Imcivree | Tufts Health RITogether, Tufts Health Plan commercial, Tufts Health Direct, Harvard Pilgrim Health Care commercial | Sept. 1, 2023 | Imcivree (setmelanotide) (Harvard Pilgrim; Tufts Health Plan) |
Injbrija (levodopa) | Tufts Health RITogether | Sept. 1, 2023 | Injbrija (levodopa) |
Insulin and Diabetes Supplies | Tufts Health Plan commercial, Tufts Health Direct, Harvard Pilgrim Health Care commercial | Sept. 1, 2023 | Insulin and Diabetes Supplies (Harvard Pilgrim; Tufts Health Plan) |
Pyrukynd | Tufts Health RITogether | Sept. 1, 2023 | Pyrukynd (mitapivat) |
Tegsedi | Tufts Health RITogether, Tufts Health Plan commercial, Tufts Health Direct, Harvard Pilgrim Health Care commercial | Sept. 1, 2023 | Tegsedi (inotersen) (Harvard Pilgrim; Tufts Health Plan) |
Voxzogo | Tufts Health RITogether, Tufts Health Plan commercial, Tufts Health Direct, Harvard Pilgrim Health Care Commercial | Sept. 1, 2023 | Voxzogo (vosoritide) (Harvard Pilgrim; Tufts Health Plan) |
Vyndagel, Vyndamax | Tufts Health RITogether, Tufts Health Plan commercial, Tufts Health Direct, Harvard Pilgrim Health Care commercial | Sept. 1, 2023 | Tafamidis Products: Vyndamax, Vyndaqel (Harvard Pilgrim; Tufts Health Plan) |
Xadago (safinamide) | Tufts Health RITogether | Sept. 1, 2023 | Xagado (safinamide) |
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