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

May 2016

Highlights
Coverage of Narcan Nasal Spray and Evzio

In the midst of the nation’s mounting opioid addiction crisis, Harvard Pilgrim supports the prescribing of opioid antagonists to patients who are considered at high risk for opioid overdose.

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Vraylar: New Clinical Requirements for Coverage

Harvard Pilgrim has enacted a step therapy requirement on the Premium formulary for members beginning treatment with Vraylar (cariprazine), an oral atypical antipsychotic used in adults for the treatment of manic or mixed episodes associated with bipolar I disorder or schizophrenia.

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Prior Authorization Required for Taltz

Effective immediately, Harvard Pilgrim is now covering the medication Taltz with prior authorization.

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Home Care Seasonal Flu Vaccine Fee Schedule Updated for 2016

Updates to Harvard Pilgrim’s standard home care seasonal influenza vaccine fee schedule will take effect on August 1, 2016.

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CLINICIAN CORNER

Coverage of Narcan Nasal Spray and Evzio

Vraylar: New Clinical Requirements for Coverage

Prior Authorization Required for Taltz

New Medical Policy on Treatment of Benign Prostatic Hypertrophy

Identifying and Treating Obsessive-Compulsive Disorder

OFFICE ASSISTANT

Home Care Seasonal Flu Vaccine Fee Schedule Updated for 2016

Reminder: Keep Panel Status Up to Date

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator