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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

April 2018

P&T Committee Meeting Update


At the March 12, 2018 meeting, the Harvard Pilgrim Pharmacy & Therapeutics Committee reviewed three medications and decided the following:

P&T Committee Review and Decisions

Name

Indication

Decision

Trelegy ellipta (fluticasone furoate, umeclidinium, and vilanterol)

Used to control and prevent symptoms caused by chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and/or emphysema.

• Premium and Value formularies: Moved from non-formulary to preferred brand tier 

• Medicare Advantage Formulary: Moved from non-formulary to preferred brand tier

Eucrisa (crisaborole)

Used for the topical treatment of mild-to-moderate eczema in patients ages two and older.

• Premium formulary: Continued coverage at the non-preferred brand tier with prior authorization 

• Value formulary: Moved to non-preferred brand tier with prior authorization

• Medicare Advantage formulary: Remains non-formulary

Dupixent (dupilumab)

Used to treat adults with moderate-to-severe eczema that is not adequately controlled with topical prescription therapies or who are unable to use topical therapies.

• Premium and Value formularies: Moved to preferred brand tier (specialty) with prior authorization 

• Medicare Advantage formulary: Continued coverage at Tier 5 specialty with prior authorization

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