Back to Insights and Updates for ProvidersJuly 2023

FDA-unapproved product coverage update

Harvard Pilgrim Health Care Commercial  |  Tufts Health Direct  |  Tufts Health Plan Commercial

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,

Kristin Edmonston,
Production Coordinator

Kristina Cicelova,
Graphic Designer