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

July 2014

Specialty Pharmacy Updates 

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

Name Indication Coverage Available From
Actemra subcutaneous injection
Actemra  is used to treat adults with moderate to severe active rheumatoid arthritis who have not had a good response to one or more Disease-Modifying Anti-Rheumatic Drugs (DMARDs); patients age 2 and older with active polyarticular juvenile idiopathic arthritis; and patients age 2 and older with active systemic juvenile idiopathic arthritis. Pharmacy Benefit  Accredo
(generic Xeloda) 
Capecitabine is an oral chemotherapy agent used to treat adjuvant colon cancer, metastatic colorectal cancer, and metastatic breast cancer. Pharmacy Benefit  Accredo
Myalept (metreleptin)  Myalept is approved as replacement therapy to treat the complications of leptin deficiency in patients with congenital or acquired generalized lipodystrophy.  Pharmacy Benefit  Accredo
Orenitram  (trepostinil)  Orenitram is used to reduce symptoms of certain kinds of pulmonary arterial hypertension (WHO Group 1) and improve exercise capacity. Pharmacy Benefit  Accredo
[coagulation Factor IX (recombinant)] 
Rixubis is used to prevent and control bleeding episodes in adults with hemophilia B. Medical Benefit  Accredo, Caremark
Tretten [coagulation Factor VIII A-Subunit (recombinant)]  Tretten is used to prevent bleeds in people with congenital factor XIII A-subunit deficiency.  Medical Benefit  Accredo
(elosulfase alfa) 
Vimizim is an enzyme replacement therapy for people with Mucopolysaccharidosis type IVA (MPS IVA; Morquio A syndrome)  Medical Benefit  Accredo

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Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,

Kristin Edmonston,
Production Coordinator