{"id":5065,"date":"2020-02-10T16:19:47","date_gmt":"2020-02-10T16:19:47","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=5065"},"modified":"2020-02-10T16:19:47","modified_gmt":"2020-02-10T16:19:47","slug":"january-2020-formulary-update","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/january-2020-formulary-update\/","title":{"rendered":"January 2020 &#8211; Formulary Update"},"content":{"rendered":"<p>Health New England\u2019s formularies can be accessed on healthnewengland.org using the \u201c<strong>Find A Drug<\/strong>\u201d tool at the top of the page.<\/p>\n<p>The online formularies are updated throughout the year as changes are made. We have three formularies, one for each line of business \u2013 Commercial, Medicare Advantage and BeHealthy Partnership\/Medicaid. 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.<\/p>\n<p>Most recently, the following medications have been reviewed for our Commercial and BeHealthy Partnership\/Medicaid line of business:<\/p>\n<table style=\"height: 3249px;\" width=\"752\">\n<tbody>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Actemra actipen<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Tocilizumab<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Anavip<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Crotalidae<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Asparlas<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Calaspargase<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Azedra<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">lobenaguane<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Balversa<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Erdafitinib<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Belrapzo<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Bendamustine<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Corlanor sol<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Ivabradine<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Daurismo<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Glasdegib<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Dextenza<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Dexmethasone<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Dsuvia<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Sufentanil<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Elzonris<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Tagraxofusp-ERZS<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Erlotinib<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">n\/a<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Evenity<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Romosozumab-AQQG<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Gamifant<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Emapalumab-LZSG<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Ilumya<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Tildrakizumab-ASMN<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Imvexxy<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Estradiol<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Kanjinti<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Trastuzumab-ANNS<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Khapzory<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Levoleucovorin<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Krintafel<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Tafenoquine<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Libtayo<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Cemiplimab-RWLC<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Lumoxiti<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Moxetumomab<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Nivestym<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Filgrastim-AAFI<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Onpattro<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Patisiran<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Poteligeo<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Mogamuliziumab-KPKC<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Prograf granules<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Tacrolimus<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Qmiiz ODT<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Meloxicam<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Rebinyn<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Coagulation factor IX<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Retacrit<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Epoetin Alfa-EPBX<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Seysara<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Sarecycline<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Symdeko 50-75mg<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Tezacaftor and Ivacaftor<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Synojoynt<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Sodium Hyaluronate<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Takhzro<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Lanadelumab-FLYO<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Tirosint solution<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Levothyroxine<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Trazimera<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Trastuzumab-QYYP<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"95\">\n<p style=\"text-align: center;\"><strong><em>Brand Name:<\/em><\/strong><\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"127\">Triluron<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"192\">Sodium Hyaluronate<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Ultomiris<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Ravulizumab-CWVZ<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Vigabatrin<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">n\/a<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Zirabev<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Bevacizumab-BVZR<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"95\"><strong><em>Brand Name:<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"127\">Zykadia tablets<\/td>\n<td style=\"text-align: center;\" width=\"66\"><strong><em>Generic:<\/em><\/strong><\/td>\n<td width=\"192\">\n<p style=\"text-align: center;\">Certinib<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: center;\">\n","protected":false},"excerpt":{"rendered":"<p>Health New England\u2019s formularies can be accessed on healthnewengland.org using the \u201cFind A Drug\u201d tool at the top of the page. The online formularies are updated throughout the year as changes are made. We have three formularies, one for each line of business \u2013 Commercial, Medicare Advantage and BeHealthy Partnership\/Medicaid. Each formulary includes the tier [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3781,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-5065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2017\/12\/479678050-e1512679645996.jpg?fit=800%2C533","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-1jH","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/5065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=5065"}],"version-history":[{"count":1,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/5065\/revisions"}],"predecessor-version":[{"id":5066,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/5065\/revisions\/5066"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media\/3781"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=5065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=5065"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=5065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}