Back to Insights and Updates for ProvidersFebruary 2023

Pharmacy coverage changes

Harvard Pilgrim and Tufts Commercial  |  Tufts Health Direct  |  Tufts Health RITogether

Updates to Prior Authorization Programs

Drug  Plan  Eff. date  Policy & additional information
Adlyxin, Byetta, Bydureon, Mounjaro, Ozempic, Rybelsus, Tanzeum, Trulicity, Victoza Tufts Health RITogether April 1, 2023 Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists
Zubsolv (buprenorphine/naloxone) sublingual tabs Harvard Pilgrim Health Care Commercial; Tufts Health Commercial; Tufts Health Direct April 1, 2023 Pharmacy Medical Necessity Guidelines: Opioid Dependence Medications (Harvard Pilgrim and Tufts Health Plan)


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