Capital BlueCross Drug Formulary and Utilization Management Program Updates

Capital BlueCross which announced that decisions from May 2014 and August 2014 Pharmacy & Therapeutics Committee meetings has resulted in formulary updates to the commercial lines of business. Updates include:

  • Generic Watch
  • Newly Marketed Drugs
  • Products Change Tier Status
  • Pharmacy Utilization Management Programs
  • Specialty Drug Watch

Formulary updates are communicated via BenefitFOCUS, Simply-Well, and the Provider Administrative Bulletin. Quarterly Formulary Update Decision Summaries for the open/closed formulary and the selectively closed formulary can also be found on the pharmacy page of our website, www.CapBlueCross.com

 

DISCLOSURE

The information provided herein is intended solely for the use of our clients. You may not display, reproduce, copy, modify, license, sell or disseminate in any manner any information included herein, without the express permission of the Publisher or Publishers of articles within.

The information provided is for informational purposes only and does not constitute legal advice. The information above contains only a summary of the applicable legal provisions and does not purport to cover every aspect of any particular law, regulation or requirement. Depending on the specific facts of any situation, there may be additional or different requirements. This is to be used only as a guide and not as a definitive description of your compliance obligations.