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

July 2016

Tier Increase for Edecrin on the Premium Formulary


Effective August 1, 2016, Edecrin — a diuretic used to treat edema — will move from Tier 2 to Tier 3 on the 3-Tier Premium Formulary, and from Tier 3 to Tier 4 on the 4-Tier Premium Formulary. The comparable diuretics furosemide and bumetanide are available at Tier 1 on the 3-Tier Premium Formulary. Members were notified of the tier change for Edecrin in early June.

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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