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Pharmacy

This section includes information regarding updates to our drug formulary and other pharmacy-related topics.

Communications

Phar
2023 Updates
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  New look and search feature for pharmacy policy site – No action needed Posted: 7/5/2023
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  Upcoming changes to the list of specialty drugs that will require precertification Posted: 5/26/2023
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  FDA withdraws approval of preterm prevention drug Makena^® Posted: 5/5/2023
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  AmeriHealth drug formulary updates Posted: 5/2/2023
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  Premium Formulary drug program changes Posted: 5/2/2023
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  Changes to the Most Cost-Effective Setting Program Posted: 5/1/2023
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  AmeriHealth Drug Formulary updates Posted: 3/23/2023
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  AmeriHealth drug formulary updates Posted: 3/15/2023
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  Voluntary withdrawal of Blenrep^® from U.S. market Posted: 1/13/2023
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  AmeriHealth Drug Formulary updates Posted: 1/5/2023
Phar
2022 Updates
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  Our prescription drug program and safe prescribing procedures Posted: 12/22/2022
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  Now in effect: Preferred products for long-acting colony-stimulating factors Posted: 11/18/2022
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  Premium Formulary drug program updates Posted: 11/16/2022
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  Policy changes impacting biologics prescribed for autoimmune, asthma, or allergic conditions Posted: 10/20/2022
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  AmeriHealth drug formulary updates Posted: 9/8/2022
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  Changes to the Dosage and Frequency Program Posted: 8/1/2022
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  Changes to the Most Cost-Effective Setting Program Posted: 7/19/2022
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  FutureScripts^® Premium Formulary drug program updates for AmeriHealth Pennsylvania Posted: 5/26/2022
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  AmeriHealth drug formulary updates Posted: 4/28/2022
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  AmeriHealth drug formulary updates Posted: 3/17/2022
Phar
2021 Updates
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  AmeriHealth position on preferred long-acting insulin Posted: 12/21/2021
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  Our prescription drug program and safe prescribing procedures Posted: 12/20/2021
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  FutureScripts^® Premium Formulary drug program updates for AmeriHealth PennsylvaniaPosted: 12/2/2021
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  AmeriHealth drug program formulary updates Posted: 12/2/2021
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  AmeriHealth drug program formulary updates Posted: 9/27/2021
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  FutureScripts^®Premium Formulary drug program updates for AmeriHealth PennsylvaniaPosted: 5/5/2021
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  AmeriHealth drug program formulary updates Posted: 5/5/2021
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  Formulary change to Proair^® HFA postponedPosted: 1/19/2021
Phar
2020 Updates
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  Updates to free meters as part of the Blood Glucose Meter Program for commercial membersPosted: 12/1/2020
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  AmeriHealth drug program formulary updatesPosted: 12/1/2020
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  FutureScripts^® Premium Formulary drug program updates for AmeriHealth PennsylvaniaPosted: 12/1/2020
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  Most cost-effective prescription drugsPosted: 11/12/2020
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  Now in effect! Updates to the list of specialty drugs that require precertification for AmeriHealth New Jersey membersPosted: 10/1/2020
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  AmeriHealth drug program formulary updatesPosted: 9/1/2020
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  FutureScripts^® Premium Formulary drug program updates for AmeriHealth PennsylvaniaPosted: 5/29/2020
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  AmeriHealth drug program formulary updatesPosted: 5/29/2020
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  COVID-19 (Coronavirus): AmeriHealth drug program formulary updatesPosted: 4/29/2020
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  AmeriHealth drug program formulary updatesPosted: 2/17/2020
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  AmeriHealth New Jersey Value Formulary now in effectPosted: 1/9/2020
Phar
2019 Updates
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  FutureScripts^® Premium Formulary drug program updates for AmeriHealth PennsylvaniaPosted: 12/20/2019
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  Our prescription drug program and safe prescribing procedures Posted: 12/17/2019
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  AmeriHealth New Jersey to introduce Value FormularyPosted: 12/11/2019
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  AmeriHealth drug program formulary updatesPosted: 11/20/2019
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  Updates to the Blood Glucose Meter Program for commercial membersPosted: 11/13/2019
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  Changes to opioid management for members under 18 years of agePosted: 11/13/2019
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  BriovaRx Specialty Pharmacy and Infusion Services has become Optum Specialty Pharmacy and Optum Infusion PharmacyPosted: 11/5/2019
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  AmeriHealth New Jersey to introduce Value FormularyPosted: 10/25/2019
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  $0 cost-share program for certain prescription medications through December for AmeriHealth Pennsylvania membersPosted: 9/23/2019
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  Save the date! Pennsylvania will host Medication-Assisted Treatment Regional Summits this fallPosted: 9/19/2019
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  AmeriHealth drug program formulary updatesPosted: 8/23/2019
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  No cost-share for Narcan^® and naloxone for AmeriHealth Pennsylvania members to continue in 2020Posted: 7/31/2019
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  No cost-share for Narcan^® and naloxone for AmeriHealth New Jersey members to continue in 2020Posted: 7/31/2019
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  AmeriHealth to offer drug rebates upfront, at the point of salePosted: 5/30/2019
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  AmeriHealth drug program formulary updatesPosted: 5/23/2019
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  Prior authorization requirement for continuing low-dose opioid therapy now in effectPosted: 4/1/2019
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  AmeriHealth drug program formulary updatesPosted: 3/1/2019
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  Thorough completion of prescription drug prior authorization forms linked to improved member satisfactionPosted: 2/14/2019
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  Reminder: Prior authorization update regarding low-dose opioid therapyPosted: 2/1/2019
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  Reminder: Proper submission of your MAT recognition form and waiverPosted: 1/9/2019
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  Reminder: Online PreCheck MyScript tool provides insight into member pharmacy benefitsPosted: 1/8/2019
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  Changes to the management of CAPS drugs now in effectPosted: 1/7/2019
Phar
2018 Updates
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  Reminder: Online PreCheck MyScript tool provides insight into member pharmacy benefitsPosted: 12/10/2018
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  Our prescription drug program and safe prescribing proceduresPosted: 12/5/2018
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  AmeriHealth drug program formulary updatesPosted: 11/29/2018
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  Prescribing medications for the treatment of opioid addictionPosted: 11/28/2018
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  Authorized generic drug changesPosted: 11/27/2018
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  Update to opioid management initiativePosted: 11/26/2018
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  Online PreCheck MyScript tool provides insight into member pharmacy benefitsPosted: 11/9/2018
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  ePRO reminder notifications for prescribersPosted: 10/3/2018
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  Changes to the management of CAPS drugsPosted: 10/1/2018
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  New! Electronic prior authorization now available for providers Posted: 8/31/2018
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  AmeriHealth drug program formulary updatesPosted: 8/29/2018
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  Updates to opioid coverage policy and formulary managementPosted: 8/7/2018
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  Site of service changes and new coverage option for Benlysta^® now in effect Posted: 6/1/2018
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  AmeriHealth drug program formulary updatesPosted: 5/31/2018
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  Billing of date ranges for DME and specialty pharmacyPosted: 5/24/2018
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  Reminder: Site of service changes and new coverage option for Benlysta^® Posted: 5/1/2018
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  AmeriHealth drug program formulary updatesPosted: 3/1/2018
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  Site of service changes and new coverage option for Benlysta^® Posted: 3/1/2018
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  Removal of cost-sharing for naloxone and Narcan^® for AmeriHealth Pennsylvania membersPosted: 2/20/2018
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  Removal of cost-sharing for naloxone and Narcan^® for AmeriHealth New Jersey membersPosted: 2/20/2018
Phar
2017 Updates
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  Our prescription drug program and safe prescribing procedures Posted: 12/28/2017
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  Preferred specialty pharmacy providersPosted: 12/7/2017
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  AmeriHealth drug program formulary updatesPosted: 11/30/2017
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  Statin therapy for diabetic patientsPosted: 11/21/2017
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  AmeriHealth drug program formulary updatesPosted: 9/1/2017
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  Use of epinephrine in the treatment of anaphylaxisPosted: 8/23/2017
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  Reminder: Our policy on opioid management Posted: 7/11/2017
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  Changes to management of subcutaneous immunoglobulin Posted: 6/28/2017
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  Our policy on opioid management Posted: 6/9/2017
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  AmeriHealth drug program formulary updatesPosted: 5/31/2017
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  Medications to be excluded from the Select Drug Program^® FormularyPosted: 5/25/2017
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  AmeriHealth drug program formulary updatesPosted: 3/2/2017
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  Updated message for providers who prescribe drugs for Medicare patientsPosted: 1/5/2017
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  Codeine use in childrenPosted: 1/4/2017
Phar
2016 Updates
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  Prescription drug updatesPosted: 12/1/2016
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  Select Drug Program^® Formulary updatesPosted: 12/1/2016
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  Our prescription drug program and safe prescribingproceduresPosted: 12/1/2016
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  Stelara^®: Now eligible for coverage under the medical andpharmacy benefitsPosted: 10/3/2016
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  Software update for e-prescriptionsPosted: 9/28/2016
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  Prescription drug updatesPosted: 8/31/2016
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  Select Drug Program^® Formulary updatesPosted: 8/31/2016
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  Reminder: Important message for providers who prescribe drugs for Medicare patientsPosted: 6/30/2016
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  Understanding prescription drug vouchersPosted: 6/30/2016
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  Prescription drug updatesPosted: 6/1/2016
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  Select Drug Program^® Formulary updatesPosted: 6/1/2016
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  CDC guidelines for prescribing opioids for chronic painPosted: 4/29/2016
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  Important message for providers who prescribe drugs for Medicare patientsPosted: 3/31/2016
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  Medication Therapy Management program available for AmeriHealth members Posted: 3/31/2016
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  Thorough completion of prior authorization forms linked to improved member satisfaction Posted: 3/31/2016
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  Prescription drug updates Posted: 2/29/2016
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  The benefits of statin therapy in diabetic patientsPosted: 2/29/2016
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  Select Drug Program^® Formulary updates Posted: 2/29/2016
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  New guide available regarding high-risk medicationsPosted: 1/29/2016
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  Resources available to promote antimicrobial stewardship in our community Posted: 1/29/2016
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  Reminder: Important message for providers who prescribe drugs for Medicare patients Posted: 1/29/2016
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  Opioid abuse epidemic Posted: 1/29/2016
Phar
2015 Updates
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  Tips to promote antimicrobial stewardship in our communityPosted: 12/30/2015
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  Prescribing high-risk medications for your older adult patients Posted: 12/30/2015
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  Contraceptive coverage changes for 2016Posted: 12/1/2015
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  Coverage of non-FDA-approved drugsPosted: 12/1/2015
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  Important message for providers who prescribe drugs for Medicare patientsPosted: 12/1/2015
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  Prescription drug updates Posted: 12/1/2015
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  Prescribing medications for your older adult patients Posted: 12/1/2015
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  Select Drug Program^® Formulary updates Posted: 12/1/2015
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  Our prescription drug program and safe prescribing procedures Posted: 12/1/2015
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  Prescription drug updates Posted: 9/1/2015
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  Select Drug Program^® Formulary updates Posted: 9/1/2015
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  New mail-order facility for your patients with FutureScripts^® Secure coveragePosted: 7/2/2015
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  Appropriate use of Suboxone^®Posted: 6/1/2015
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  Prescription drug updatesPosted: 6/1/2015
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  Ensuring better drug coverage determination outcomes for you and your patientsPosted: 6/1/2015
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  Select Drug Program^® Formulary updates Posted: 6/1/2015
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  Prescription drug updatesPosted: 3/2/2015
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  Select Drug Program^® Formulary updates Posted: 3/2/2015
Phar
2014 Updates
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  Things to remember when prescribing narcotic therapyPosted: 12/30/2014
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  Compound medication policy updatePosted: 12/1/2014
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  Prescription drug updatesPosted: 12/1/2014
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  Nasonex^® to be removed from Select Drug Program^® FormularyPosted: 12/1/2014
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  Select Drug Program^® Formulary updatesPosted: 12/1/2014
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  Important information on prescribed narcotic therapyPosted: 12/1/2014
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  Requesting prior authorization for direct ship oral medicationsPosted: 10/31/2014
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  Prescription drug updates Posted: 8/28/2014
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  Select Drug Program^® Formulary updatesPosted: 8/28/2014
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  Nexium^® to be removed from Select Drug Program^® Formulary Posted: 8/28/2014
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  Prescription drug updatesPosted: 5/30/2014
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  Select Drug Program^® Formulary updatesPosted: 5/30/2014
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  Prescription drug updatesPosted: 2/28/2014
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  Generic drugs available for the treatment of osteoporosisPosted: 2/28/2014
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  Select Drug Program^® Formulary updatesPosted: 2/28/2014
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  Prescription drug benefits overview for AmeriHealth 65^® Preferred Rx HMO and AmeriHealth Rx PDP membersPosted: 1/9/2014
Phar
2013 Updates
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  Prescription drug updatesPosted: 12/2/2013
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  Select Drug Program^® Formulary updatesPosted: 12/2/2013
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  Reminder: ProAir^® HFA to become the only preferred brand of rescue inhaler for commercial membersPosted: 8/29/2013
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  Prescription drug updatesPosted: 8/29/2013
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  Select Drug Program^® Formulary updatesPosted: 8/29/2013
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  ProAir HFA to become the only preferred brand of rescue inhaler for commercial membersPosted: 8/1/2013
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  CMS requires an individual NPI on all prescriptions for members covered under Medicare Part DPosted: 5/31/2013
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  Prescription drug updatesPosted: 5/31/2013
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  Select Drug Program^® Formulary updatesPosted: 5/31/2013
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  Orthovisc^® replaces Euflexxa^® as one of three preferred products to treat osteoarthritis of the kneePosted: 4/18/2013
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  Voluntary recall of all lots of OMONTYS^® (peginesatide) InjectionPosted: 3/7/2013
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  Prescription drug updatesPosted: 3/1/2013
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  Select Drug Program^® Formulary updatesPosted: 3/1/2013
Phar
2012 Updates
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  Prescription drug updatesPosted: 11/30/2012
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  Changes to growth hormone prescribing proceduresPosted: 11/30/2012
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  Select Drug Program^® Formulary updatesPosted: 11/30/2012
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  Important change for the coverage of Adderall XR^®Posted: 9/28/2012
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  Prescription drug updatesPosted: 8/31/2012
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  Select Drug Program^® Formulary updatesPosted: 8/31/2012
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  The process of requesting retrospective reviews for inpatient staysPosted: 6/29/2012
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  Health care reform: Expansion of 100 percent coverage for women’s preventive health servicesPosted: 6/29/2012
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  Prescription drug updatesPosted: 5/31/2012
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  Select Drug Program^® Formulary updatesPosted: 5/31/2012
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  Program for brand Lipitor^® ends as of June 1, 2012Posted: 5/1/2012
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  CMS patient safety measures and how you can helpPosted: 3/29/2012
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  Prescription drug updatesPosted: 3/1/2012
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  Select Drug Program^® Formulary updatesPosted: 3/1/2012
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  Closed formulary option for Medicare Part D membersPosted: 1/31/2012
Phar
2011 Updates
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  Change to our specialty pharmacy network for commercial membersPosted: 12/29/2011
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  Prescription drug updatesPosted: 12/1/2011
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  Brand Lipitor^® available to members through May 2012Posted: 12/1/2011
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  Upcoming benefits change for progesterone in oilPosted: 12/1/2011
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  Prescription drug updatesPosted: 9/1/2011
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  Select Drug Program^® Formulary updatesPosted: 9/1/2011
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  Prescription mail order service transitionPosted: 7/1/2011

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