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

August 2013

Specialty Pharmacy Updates 


Harvard Pilgrim’s Specialty Pharmacy Program has added the following medications.

Name Indication Coverage Available From
Signifor (pasireotide) Signifor is a self-injectable medication used to treat adults with Cushing’s disease for whom pituitary surgery is not an option or has not been curative. Pharmacy Benefit Curascript Pharmacy
Synribo (omacetaxine mepesuccinate) Synribo is an injectable medication used to treat chronic myeloid leukemia (CML). Medical
Benefit
Curascript Pharmacy
TOBI
(tobramycin)  
TOBI is inhaled tobramycin used to treat pseudomonas aeruginosa in the lungs of people with cystic fibrosis. The maker of this drug recently stopped distributing it through retail pharmacies. Pharmacy Benefit  Curascript Pharmacy
Ravicti (glycerol phenylbutyrate)  Ravicti is an oral medication used to treat high blood levels of ammonia in patients with urea cycle disorders. Pharmacy Benefit  Curascript Pharmacy
Pomalyst (pomalidomide)  Pomalyst is an oral medication that is used to treat refractory multiple myeloma. Pharmacy Benefit  Curascript Pharmacy
Gattex (teduglutide) Gattex is a self-injectable medication used to treat adults with short bowel syndrome who are dependent on parenteral support.  Pharmacy Benefit
(prior authorization required)
Curascript Pharmacy
Cystaran (cysteamine) Cystaran is an ophthalmic solution used to treat crystal accumulation in cystinosis patients.  Pharmacy Benefit
Curascript Pharmacy
Kalbitor (ecallantide) Kalibitor is an injectable medication used for the treatment of acute hereditary angioedema (HAE) attacks. Medical
Benefit
Curascript Pharmacy

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Reminder: Maintain Up-To-Date Panel Status Information

CLINICIAN CORNER

Intralesional Injection Procedures: No Prior Authorization Required

Medical Criteria for Electric and Myoelectric Prosthetics

TMS Now Covered with Prior Authorization

Continuous Glucose Monitoring Systems

New Prior Authorization Requirement for Six Medications

Gastric Emptying Payment Policy Update

P&T Committee Updates

Specialty Pharmacy Updates

Recognizing Postpartum Depression in the Primary Care Setting

OFFICE ASSISTANT

Changes to HPHConnect New User Accounts

Qualitative Drug Screen Testing

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator