Formulary Updates

Posted on December 5, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice.
If you have any questions about the information in this notice, please contact Health New England Provider Relations at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.
Health New England’s 2017 formularies are now available on healthnewengland.org:
The online formularies are updated throughout the year as changes are made. We have three formularies, one for each line of business – Commercial, Medicare Advantage and Be Healthy. Each formulary includes the tier assignment for each drug and any drug-specific medication management requirements, including quantity limitations, step therapy requirements and prior authorization requirements.
Most recently, the following medications have been reviewed: Bevespi, Nuplazid, Ocaliva, Xiidra and Zinbryta.
We encourage our providers to utilize our online formulary, which is accessible on healthnewengland.org and available for all users without a login name or password.