Conventry Health Care dropped ST requirement for Afrezza 3/1
Mar 24, 2016 18:27:55 GMT -5
otherottawaguy, alethea, and 4 more like this
Post by lakers on Mar 24, 2016 18:27:55 GMT -5
healthamerica.coventryhealthcare.com/web/groups/public/@cvty_regional/documents/webcontent/c152093.pdf
From Kevinmik
Coventry has Afrezza listed as Standard Coverage and is dropping prerequisite requiring one or more other drugs be used before coverage is approved.
Conventry Health Care
July 1, 2016 Formulary Changes (Standard)
Abbreviation Key
Refer to your plan documents for a complete description of benefits, exclusions and limitations of coverage
NPB/G
Non-preferred brand-name or nonpreferred generic drug These drugs aren’t preferred. You may pay higher out-of-pocket costs when using a non-preferred brand-name or generic drug
ST = Step therapy
Step therapy only applies if your plan includes step-therapy. This means that you must try one or more prerequisite drug(s) before we cover a step-therapy drug.
Pg 7/26:
March 1, 2016 and April 1, 2016 Formulary Changes (Standard)
81.03.411.1 (3/7/16)
UPPERCASE = brand-name drug; lower case italics = generic drug
Drug Name
Current
Tier
Tier as of
3/1/16 Formulary Alternative(s) Notes
AFREZZA NPB/G NPB/G Remove ST
finance.yahoo.com/mbview/searchview/?&bn=0243242e-59fb-3abc-8d27-962c7bf26a1d&q=coventry&in=b&sm=
Several million members: (this press reslease is a few years old)
HARTFORD, Conn. & BETHESDA, Md.–(BUSINESS WIRE)–Aetna (NYSE: AET) and Coventry Health Care, Inc. (NYSE: CVH) today announced that they have entered into a definitive agreement pursuant to which Aetna will acquire Coventry in a transaction valued at $7.3 billion, including the assumption of Coventry debt.(1) Coventry is a diversified managed health care company that offers a full portfolio of risk and fee-based products, including Medicare Advantage and Medicare Part D programs, Medicaid managed care plans, group and individual health insurance, coverage for specialty services such as workers’ compensation, and network rental services. The acquisition is projected to add nearly 4 million medical members and 1.5 million Medicare Part D members to Aetna’s membership. On a pro forma basis, the transaction increases Aetna’s share of revenues from Government business to over 30 percent from 23 percent currently.
From Kevinmik
Coventry has Afrezza listed as Standard Coverage and is dropping prerequisite requiring one or more other drugs be used before coverage is approved.
Conventry Health Care
July 1, 2016 Formulary Changes (Standard)
Abbreviation Key
Refer to your plan documents for a complete description of benefits, exclusions and limitations of coverage
NPB/G
Non-preferred brand-name or nonpreferred generic drug These drugs aren’t preferred. You may pay higher out-of-pocket costs when using a non-preferred brand-name or generic drug
ST = Step therapy
Step therapy only applies if your plan includes step-therapy. This means that you must try one or more prerequisite drug(s) before we cover a step-therapy drug.
Pg 7/26:
March 1, 2016 and April 1, 2016 Formulary Changes (Standard)
81.03.411.1 (3/7/16)
UPPERCASE = brand-name drug; lower case italics = generic drug
Drug Name
Current
Tier
Tier as of
3/1/16 Formulary Alternative(s) Notes
AFREZZA NPB/G NPB/G Remove ST
finance.yahoo.com/mbview/searchview/?&bn=0243242e-59fb-3abc-8d27-962c7bf26a1d&q=coventry&in=b&sm=
Several million members: (this press reslease is a few years old)
HARTFORD, Conn. & BETHESDA, Md.–(BUSINESS WIRE)–Aetna (NYSE: AET) and Coventry Health Care, Inc. (NYSE: CVH) today announced that they have entered into a definitive agreement pursuant to which Aetna will acquire Coventry in a transaction valued at $7.3 billion, including the assumption of Coventry debt.(1) Coventry is a diversified managed health care company that offers a full portfolio of risk and fee-based products, including Medicare Advantage and Medicare Part D programs, Medicaid managed care plans, group and individual health insurance, coverage for specialty services such as workers’ compensation, and network rental services. The acquisition is projected to add nearly 4 million medical members and 1.5 million Medicare Part D members to Aetna’s membership. On a pro forma basis, the transaction increases Aetna’s share of revenues from Government business to over 30 percent from 23 percent currently.
