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Contraceptive coverage changes for 2016

December 1, 2015

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Beginning in December, some of your Independence patients may receive a letter from FutureScripts®, our pharmacy benefits manager and an independent company, explaining updated guidelines for contraceptive coverage. The letter explains that beginning January 1, 2016, upon group renewal, brand-name contraceptives that have a generic alternative will be covered with standard cost-sharing. The affected drugs are:

  • Beyaz®
  • Depo-subQ provera 104TM
  • Ella®
  • Lo Loestrin®
  • Minastrin®
  • Ortho Tri-Cyclen® Lo
  • Safyral®
Those brand-name contraceptives without a generic alternative or generic equivalent will continue to be covered at 100 percent. Likewise, generic contraceptives will continue to be covered at 100 percent. Brand-name contraceptives with generic equivalents will continue to be covered at standard cost-sharing.

Members are advised to contact their provider to find out if a generic alternative, generic equivalent, or any contraceptive drug that does not have cost-sharing is appropriate for them. When applicable, please issue a new prescription for the member.

For questions about pharmacy coverage, members can call the Pharmacy Benefit telephone number on the back of their ID card.

FutureScripts and FutureScripts Secure are independent companies that provide pharmacy benefits management services.

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