Pharmacy coverage changes
December 2025| Our products| 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.
| Updates to existing prior authorization programs | |||
| Drug | Plan | Eff. date | Policy & additional information |
| Vtama | Harvard Pilgrim Commercial, Tufts Health Plan Commercial, Tufts Health Direct | 2/1/2026 | Dermatological Immunomodulators PMNG Updated prerequisite trials and removed reauthorization criteria for Vtama.
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