Effective immediately, any products listed on the Harvard Pilgrim Health Care commercial, Tufts Health Plan commercial, and Tufts Health Direct formularies that have not been approved by the FDA will be excluded from coverage, in alignment with the information listed on our Evidence of Coverage documents and Member Handbooks.
Because unapproved products have not undergone FDA evaluation to determine whether they are safe and effective for their intended use, or whether they have other safety concerns, it is inappropriate to offer coverage for them.
Before prescribing any medication to a Point32Health member, please be sure to always refer to the member’s formulary to verify that the medication is listed as covered.
Audrey Kleinberg,
Director, Provider Relations & Communications
Annmarie Dadoly,
Senior Manager, Provider Communications
Joseph O’Riordan, Susan Panos, Stephen Wong,
Writers
Kristin Edmonston,
Production Coordinator
Kristina Cicelova,
Graphic Designer