Pharmacy (Rx) Programs
In order to maintain an affordable prescription benefit, while offering quality and choice, the State Health Plan is constantly evaluating ways to improve generic utilization and offer affordable alternatives to expensive prescription products. Please review the following pharmacy programs.
Forteo® (Teriparatide Injection) Step Therapy Program
Angiotensin Receptor Blocker (ARB) Step Therapy Program
Medication Adherence Pilot Program (MAPP) for Retirees taking Diabetes and Cardiovascular Medications
Nasal Steroid Step Therapy
Coverage Review for Migraine Medications and Antiemetic Quantity Limits
Pilot Program Lowers the Cost of Generic Cholesterol-lowering Medications
Prescription Refill Guidelines
Coverage Review and Specialty Pharmacy Changes
Copay Changes for Lexapro®, Aciphex®, and Nexium®
Allergy Prior Authorization Program (NSA Step Therapy Program)
Provigil Prior Authorization
Insomnia Medications Prior Authorization
Forteo® (Teriparatide Injection) Step Therapy Program
Angiotensin Receptor Blocker (ARB) Step Therapy Program
Medication Adherence Pilot Program (MAPP) for Retirees taking Diabetes and Cardiovascular Medications
Nasal Steroid Step Therapy
Coverage Review for Migraine Medications and Antiemetic Quantity Limits
Pilot Program Lowers the Cost of Generic Cholesterol-lowering Medications
Prescription Refill Guidelines
Coverage Review and Specialty Pharmacy Changes
Copay Changes for Lexapro®, Aciphex®, and Nexium®
Allergy Prior Authorization Program (NSA Step Therapy Program)
Provigil Prior Authorization
Insomnia Medications Prior Authorization
