Updates to existing prior authorization programs | |||
Drug | Plan | Eff. date | Policy & additional information |
Sirturo (bedaquiline) | Harvard Pilgrim Health Care commercial, Tufts Health Plan commercial, Tufts Health Direct, Tufts Health RITogether | 10/1/2024 | Sirturo (bedaquiline) |
Victoza (liraglutide) | Harvard Pilgrim Health Care Commercial, Tufts Health Plan Commercial, Tufts Health Direct | 10/1/2024 | Incretin Mimetics Step Therapy |