Pharmacy coverage changes
September 2026| Harvard Pilgrim Health Care Commercial| Tufts Health Plan Commercial| Tufts Health Direct| Tufts Health RITogether| Tufts Health Together
The chart below identifies updates for Pharmacy Medical Necessity Guidelines. For additional details and to access the guidelines referenced below, please visit the Pharmacy Medical Necessity Guidelines page on our Point32Health provider website.
| Drug status changes | |||
| Drug | Plan | Eff. Date | Policy and Additional Information |
| Empagliflozin Containing Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors | Harvard Pilgrim Commercial, Tufts Health Plan Commercial | 11/15/2026 | New non-formulary prior authorization policy. For further details, please refer to this article. |