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

July 2016

Highlights
Medical Policy Changes for Injectable and Infusible Drugs

Harvard Pilgrim regularly reviews our clinical medical policies, clinical literature, and utilization trends, and updates policies and procedures as appropriate.

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Coverage of Vitamin B12 Screening and Testing

Harvard Pilgrim has developed a new medical policy for Vitamin B12 screening and testing.

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New Medical Policy for H. Pylori Testing

Harvard Pilgrim has developed a new medical policy on testing for helicobacter pylori (H. pylori), which is a type of bacteria that causes peptic ulcers, infection of the stomach, and sometimes stomach cancer.

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New Medical Policy for Nucala

Effective for dates of service beginning September 1, 2016, Harvard Pilgrim has developed a new medical policy for the use of the drug Nucala.

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HPHCURRENT EVENTS

Substance Abuse Materials Now Available Online

CLINICIAN CORNER

Medical Policy Changes for Injectable and Infusible Drugs

Coverage of Vitamin B12 Screening and Testing

Coverage of Tumor Treatment Field Device for Glioblastoma

Briviact Covered With Prior Authorization

Nuplazid Covered With Prior Authorization

New Medical Policy for H. Pylori Testing

New Medical Policy for Nucala

Tier Increase for Apidra and Apidra SoloSTAR on the Premium Formulary

Tier Increase for Edecrin on the Premium Formulary

Diagnosing and Treating Depression in Older Adults

P&T Committee Meeting Update

Specialty Pharmacy Update

OFFICE ASSISTANT

Reminder: Keep Panel Status and Demographic Information 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