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November2008 | |
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Innoviant's Business
Committee meets monthly to evaluate product status (tier placements) and
new prescription products approved by the Food and Drug Administration
(FDA). Decisions made by the Innoviant Business Committee are based on
information and recommendations provided by Prescription Solutions'
National Pharmacy & Therapeutics Committee (NPTC). The P&T is
comprised of independent physician providers, affiliated plan physicians
and pharmacists.
The following table summarizes the decisions made at the October committee meetings. All changes are effective January 1, 2009 unless otherwise noted. Current information related to Innoviant and its offerings is available at http://www.innoviant.com/. A copy of this newsletter can also be found on the website (http://www.innoviant.com/customers/publications/default.asp). | |
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► NEW DRUGS |
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Standard Plan |
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Select Plan |
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Closed Plan |
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No new drugs were reviewed at the October meetings. | |||||||
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► LINE EXTENSIONS |
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Standard Plan |
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Select Plan |
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Closed Plan |
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No new line extensions were reviewed at the October meetings. | |||||||
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► DRUG CLASS REVIEW |
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Standard Plan |
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Select Plan |
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Closed Plan |
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No drug class reviews at the October meetings. | |||||||
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► PPL UPDATES |
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Standard Plan |
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Select Plan |
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Closed Plan |
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Simcor | |||||||
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Simcor is a combination of simvastatin and extended release niacin indicated for the treatment of primary hypercholesterolemia, mixed dyslipidemia or hypertriglyceridemia when therapy with either agent alone is considered inadequate. Prior therapy review applies as an electronic step edit. The electronic edit reviews claim history for prior use of Advicor or simvastatin.
Simcor is added to |
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Brand copay. Coverage determined by the benefit design chosen by the plan sponsor. |
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Second
Tier, Coverage determined by |
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Second
Tier, Coverage determined by the benefit design chosen by the plan sponsor. |
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Avandaryl | |||||||
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Avandaryl is a combination of rosiglitazone maleate (a TZD) and glimepiride (a sulfonylurea). Avandaryl, along with diet and exercise, is used to improve blood sugar control in patients with Type 2 diabetes. Avandaryl is removed from the Preferred Products List (PPL), effective January 1, 2009. |
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Brand copay. |
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Third
tier, |
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Not covered. |
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► BRANDS
WITH |
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Standard Plan |
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Select Plan |
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Closed Plan |
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No products with new generics were reviewed at October meeting. | |||||||
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► CLINICAL
PROGRAMS |
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Standard Plan |
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Select Plan |
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Closed Plan |
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Avapro, Avalide, LiquADD | |||||||
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Listed items will be added |
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Brand copay. Coverage determined by the benefit design chosen by the plan sponsor. |
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Second
Tier, Coverage determined by |
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Second
Tier, Coverage determined by the benefit design chosen by the plan sponsor. |
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Atacand, Atacand-HCT, Cozaar, Hyzaar, Teveten, Teveten-HCT | |||||||
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Listed items will be added |
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Brand copay. Coverage determined by the benefit design chosen by the plan sponsor. |
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Third
Tier, Coverage determined by |
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Not covered. |
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This newsletter does not imply coverage. Plan booklets provide specific benefit and coverage limitations.
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