Back to Insights and Updates for ProvidersJanuary 2024

Pharmacy coverage changes

Harvard Pilgrim Health Care Commercial  |  Tufts Health Direct  |  Tufts Health Plan Commercial  |  Tufts Health RITogether

Changes to existing prior authorization programs

Updates to existing prior authorization programs
Drug Plan Eff. date Policy & additional information
Dalfampridine Tufts Health RITogether March 1, 2024 Ampyra (dalfampridine)
Firdapse Tufts Health RITogether March 1, 2024 Firdapse
Opzelura Tufts Health RITogether March 1, 2024 Opzelura
Contrave

Saxenda

Wegovy

 

Harvard Pilgrim Health Care commercial, Tufts Health Plan commercial, Tufts Health Direct March 1, 2024 Weight Loss Medications (Harvard Pilgrim, Tufts Health Plan)
Opioids Tufts Health Together March 4, 2024 Opioids and Analgesics (criteria will be available on the MassHealth Drug List on or after the effective date)
Drug status changes
Drug Plan Eff. Date Policy and Additional Information
Vosevi Tufts Health RITogether March 1, 2024 Vosevi will be moved to non-preferred status. Medications for the Treatment of Hepatitis C

Audrey Kleinberg,
Director, Provider Relations & Communications

Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Susan Panos, Ryan Francis, Stephen Wong,
Writers

Kristin Edmonston,
Production Coordinator

Kristina Cicelova,
Graphic Designer