Afrezza tier 2 11/1/2016

[rockstarrick]

page 31
great news, some said we'd never get this.

m.kp.org/mt/healthy.kaiserpermanente.org/static/health/pdfs/formulary/mid/mid_flexchoice.pdf

[compound26]

Nov 2, 2016 17:30:58 GMT -5 rockstarrick said:

page 31
great news, some said we'd never get this.

m.kp.org/mt/healthy.kaiserpermanente.org/static/health/pdfs/formulary/mid/mid_flexchoice.pdf

rockstarrick  the link does not work. Could you kindly fix it and re-post?

[lakers]

Nov 2, 2016 17:35:49 GMT -5 compound26 said:

Nov 2, 2016 17:30:58 GMT -5 rockstarrick said:

page 31
great news, some said we'd never get this.

m.kp.org/mt/healthy.kaiserpermanente.org/static/health/pdfs/formulary/mid/mid_flexchoice.pdf

rockstarrick  the link does not work. Could you kindly fix it and re-post?

healthy.kaiserpermanente.org/static/health/pdfs/formulary/mid/mid_flexchoice.pdf

No restriction. Tier 2, 3.

[rockstarrick]

Nov 2, 2016 17:35:49 GMT -5 compound26 said:

Nov 2, 2016 17:30:58 GMT -5 rockstarrick said:

page 31
great news, some said we'd never get this.

m.kp.org/mt/healthy.kaiserpermanente.org/static/health/pdfs/formulary/mid/mid_flexchoice.pdf

rockstarrick  the link does not work. Could you kindly fix it and re-post?

Works fine for me, click link, select PDF file, pg 31

[rockstarrick]

Nov 2, 2016 17:48:15 GMT -5 rockstarrick said:

Nov 2, 2016 17:35:49 GMT -5 compound26 said:

rockstarrick  the link does not work. Could you kindly fix it and re-post?

Works fine for me, click link, select PDF file, pg 31

Updated 11/1/2016

Flexible Choice and Out-of-Area PPO (OOA-PPO) Formulary Last Update: 11/01/2016
The following is a list of the drugs on the Kaiser Permanente Mid-Atlantic States Flexible Choice and OOA-PPO formulary. The preferred drugs in the formulary are chosen by a group of Kaiser Permanente physicians and pharmacists known as the Pharmacy and Therapeutics Committee. The formulary applies only to outpatient drugs and self-administered drugs. It does not apply to medical service drugs or medications used in a hospital or surgery center or medications administered in a doctor’s office or infusion center. The formulary does not provide information about your plan’s specific coverage, limitations, or exclusions. For additional information regarding your pharmacy benefits, please consult your Evidence of Coverage (EOC) and/or Certificate of Insurance (COI).

[rockstarrick]

Nov 2, 2016 17:50:13 GMT -5 rockstarrick said:

Nov 2, 2016 17:48:15 GMT -5 rockstarrick said:

Works fine for me, click link, select PDF file, pg 31

Updated 11/1/2016

Flexible Choice and Out-of-Area PPO (OOA-PPO) Formulary Last Update: 11/01/2016
The following is a list of the drugs on the Kaiser Permanente Mid-Atlantic States Flexible Choice and OOA-PPO formulary. The preferred drugs in the formulary are chosen by a group of Kaiser Permanente physicians and pharmacists known as the Pharmacy and Therapeutics Committee. The formulary applies only to outpatient drugs and self-administered drugs. It does not apply to medical service drugs or medications used in a hospital or surgery center or medications administered in a doctor’s office or infusion center. The formulary does not provide information about your plan’s specific coverage, limitations, or exclusions. For additional information regarding your pharmacy benefits, please consult your Evidence of Coverage (EOC) and/or Certificate of Insurance (COI).

I have been following this today, I saw it earlier, wanted to wait to make sure.
Man, I'm on a fricken roll today !!!

[lakers]

UnitedHealthcare® Oxford
Effective Date: November 1, 2016
Pg 6
www.oxhp.com/secure/policy/drug_coverage_guidelines.pdf

Afrezza (Insulin,
human)
Inhalation

Powder J3490 PBM  Prior Authorization/ Medical
Necessity Guidelines: Afrezza Pharmacy N/A

www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesPdf/Tools%20and%20Resources/Policies%20and%20Protocols/Medical%20Policies/Ox_MPUB_Future_Pharmacy/Med_Nec_Afrezza_1016.pdf

Program Number 2016 P 2056-2

Program Prior Authorization/Medical Necessity – Afrezza

Medication Afrezza (insulin human)

P&T Approval Date 7/2015, 7/2016

Effective Date 10/1/2016;

Oxford only: 10/1/2016

[compound26]

Nov 2, 2016 17:48:15 GMT -5 rockstarrick said:

Nov 2, 2016 17:35:49 GMT -5 compound26 said:

rockstarrick  the link does not work. Could you kindly fix it and re-post?

Works fine for me, click link, select PDF file, pg 31

rockstarrick  I see. Thanks!

[lakers]

TennCare Preferred Drug List (PDL)

Effective November 1, 2016
tenncare.magellanhealth.com/static/docs/Preferred_Drug_List_and_Drug_Criteria/TennCare_PDL.pdf

Pg. 23
Diabetes: Insulins

Humalog® KwikPen®
 PA
Humulin® 70/30® vial

Afrezza® PA, QL

Novolog® FlexPen® PA

Humalog® Mix 50/50® KwikPen® PA Humulin® N® vial Apidra® Solostar® Novolog® Mix 70/30® FlexPen® PA

Humalog® Mix 75/25® KwikPen® PA Humulin® R® vial Apidra® vial Novolog® Mix 70/30® vial

Humalog® Mix 50/50® vial Humulin®

R® U-500 vial Humalog® U-200 KwikPen® PA Novolog® vial

Humalog® Mix 75/25® vial Lantus® Solostar® Humulin® R® U-500 KwikPen® PA Toujeo® Solostar® PA

Humalog® vial Lantus® vial Novolin ® 70/30® Tresiba® FlexTouch® PA

Humulin® 70/30® KwikPen® PA Levemir® FlexTouch® Novolin® N®

Humulin® N® KwikPen® PA Levemir® vial Novolin® R®

Diabetes: Meglitinides and Combina

[lakers]

Florida Blue
www.bcbsfl.com/DocumentLibrary/Providers/Content/CareChoicesMedGuide.pdf
November 2016
Pg 31

AFREZZA - insulin regular (human)
inh powd 8 (60) & 12 (30) unit/cart
3 PA QL

AFREZZA - insulin regular (human)
inhal powd 4 (30) & 8 (60) unit/cart
3 • •

AFREZZA - insulin regular (human)
inhal powd 4 (60) & 8 (30) unit/cart
3 • •

AFREZZA - insulin regular (human)
inhal powd 4 (90) & 8 (90) unit/cart
3 • •

AFREZZA - insulin regular (human)
inhalation powder 4 unit/cartridge
3 • •

[peppy]

screencast.com/t/dRWNxrAO

[nemzter]

Finally! Some decent news... thanks Rock!

[rockstarrick]

Nov 2, 2016 19:10:46 GMT -5 peppy said:

screencast.com/t/dRWNxrAO

I never thought of a screenshot,
Thanks Peppy

[4allthemarbles]

Good news about Afrezza? Are you sure?

It's been so long...

[gtay87]

Couldn't get the link to work, but it doesn't show up anywhere on the 2017 California formulary:

healthy.kaiserpermanente.org/static/health/pdfs/formulary/cal/2017_ca_marketplace_formulary.pdf

Also doesn't show up on their Lexicomp search site for mid-Atlantic states:

online.lexi.com/lco/action/search?q=afrezza&t=name

And it's tier 4 on their Medicare 2017 list:

healthy.kaiserpermanente.org/static/health/en-us/pdfs/nat/Medicare_2017_NAT/comprehensive_formulary.pdf