Published October 2024

Below is a recap of the Pharmacy Policies that went into effect recently. All policies are reviewed at least once annually. For more detailed information on these changes, please review 2024 FastFaxes orvisit all policies here.

Drugs removed from prior authorization for  Commercial, Marketplace, and Self-Funded Formularies

  • Airsupra
  • Olpruva
  • Rezzayo
  • Xacduro
  • Vanflyta
  • Akeega
  • Jesduvroq
  • Pokonza
  • Motpoly XR
  • Likmez
  • Fruzaqla
  • Truqap
  • Augtyro
  • Ogsiveo
  • Balfaxar injection
  • Rykindo
  • Brixadi

New Drugs excluded for  Commercial, Marketplace, and Self-Funded Formularies

  • Veozah
  • Sogroya
  • Uzedy
  • Zavzpret
  • Inpefa
  • Miebo
  • Ngenla
  • Suflave
  • Xdemvy
  • Skytrofa
  • Brenzavvy
  • Entyvio pen 
  • Velsipity
  • Bimzelx
  • Omvoh IV infusion
  • Omvoh SQ pen
  • Xphozah
  • Inpefa
  • Vevye
  • zoryve foam

New generics that recently came to market

Brand Name Generic Name
Farxiga Dapagliflozin
Xigduo XR Dapagliflozin-Metformin
Prolensa Bromfenac ophthalmic solution
Indocin Indomethacin suspension
Korlym Mifepristone
Gralise Gabapentin ER
Emflaza Deflazacort
Rectiv ointment Nitroglycerin ointment 0.4%
Bromsite Bronfenac ophthalmic 0.075%
Alrex suspension Lotepredol ophthalmic
Thiola EC Tiopronin tab delayed release
Lithium solution Lithium oral solution
Estrogel Estradiol gel
Myrbetriq Mirabegron
Orfadin capsules Nitisinone
Halaven Eribulin inj
Relexxii Methylphenidate OSM ER
Somatuline Lanreotide ER inj
Victoza Liraglutide