Back to Insights and Updates for ProvidersJune 2023

Pharmacy coverage changes

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

Updates to Existing Prior Authorization Programs

Drug Plan Eff. date Policy & Additional Information
Pretomanid Tufts Health RITogether Aug. 1, 2023 Pretomanid
Sirturo Tufts Health RITogether Aug. 1, 2023 Sirturo (bedaquiline)
Takhzyro Tufts Health RITogether, Tufts Health Plan Commercial, Tufts Health Direct, Harvard Pilgrim Health Care Commercial Aug. 1, 2023 Pharmacy Medical Necessity Guidelines: Hereditary Angioedema Medications (RITogether; and Harvard Pilgrim commercial, Tufts Health Plan commercial, Tufts Health Direct)


Audrey Kleinberg,
Director, Provider Relations & Communications

Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Jesse Salvato, Stephen Wong,

Kristin Edmonston,
Production Coordinator

Kristina Cicelova,
Graphic Designer