| Updates to existing prior authorization programs | |||
| Drug | Plan | Eff. date | Policy & additional information |
| Non-Formulary Exceptions | Harvard Pilgrim Commercial, Tufts Health Plan Commercial, Tufts Health Direct | 7/1/2025 | Non-Formulary Exceptions
Updated duration of Wegovy and Saxenda coverage for pediatric members. |
| Tafamidis Products | Harvard Pilgrim Commercial, Tufts Health Plan Commercial, Tufts Health Direct
Tufts Health RITogether |
7/1/2025 | Modified diagnosis requirements. |