Highmark: Compound Medications to be Excluded from ACA Plans

Compound medications will be excluded from all Small Group and Individual ACA plans beginningĀ in January 2016 or upon renewal.

Any members who have filled a prescription for a compound medication will receive a letter prior to renewal informing them the medication will no longer be covered and recommending they speak with their physician about prescribing an alternative medication covered by the plan.



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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.