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) |
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