Effective immediately, Harvard Pilgrim is now covering the medication Zecuity with prior authorization. Zecuity is a transdermal formulation of sumatriptan used to treat adults with migraines. It is a single-use, disposable patch system that is designed to be worn for a four-hour period either on the upper arm or thigh. Zecuity will be covered on the Premium formularies only, at the highest tier (i.e. Tier 3 on the 3-Tier and Tier 4 on the 4-Tier Premium formularies).
Harvard Pilgrim’s Zecuity Clinical Review Criteria detail the requirements that must be met in order to obtain prior authorization. To request prior authorization, please complete the Zecuity Medication Request Form and fax it to MedImpact Healthcare Systems at 888-807-6643. For more information, please refer to the Pharmacy section of Harvard Pilgrim's provider website.