November2008

   
   
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).

 

 

► NEW DRUGS

 

 

Standard Plan

 

Select Plan

 

Closed Plan

 

No new drugs were reviewed at the October meetings.

 

 

 

 

 

 

 

 

 

 

► LINE EXTENSIONS

 

 

Standard Plan

 

Select Plan

 

Closed Plan

 

No new line extensions were reviewed at the October meetings.

 

 

 

 

 

 

 

 

 

 

► DRUG CLASS REVIEW

 

 

Standard Plan

 

Select Plan

 

Closed Plan

 

No drug class reviews at the October meetings.

 

 

 

 

 

 

 

 

 

 

► PPL UPDATES

 

 

Standard Plan

 

Select Plan

 

Closed Plan

 

Simcor

 

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. 

  • In a limited category
    (cholesterol lowering)

  • DACON applies

Simcor is added to 
Preferred Brand status, 
effective January 1, 2009.

 

 

Brand copay. 

Coverage determined by the benefit design chosen by the plan sponsor. 

 

Second Tier, 
preferred brand copay.

Coverage determined by 
the benefit design chosen by the plan sponsor. 

 

Second Tier, 
preferred brand copay.

Coverage determined by the benefit design chosen by the plan sponsor.

 

Avandaryl

 

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.

 

 

Brand copay. 

 

Third tier, 
non-preferred brand copay. 

 

Not covered.

 

 

 

 

 

 

 

 

 

 

► BRANDS WITH 
    GENERICS AVAILABLE

 

 

Standard Plan

 

Select Plan

 

Closed Plan

 

No products with new generics were reviewed at October meeting.

 

 

 

 

 

 

 

 

 

 

► CLINICAL PROGRAMS
    (DACON)

 

 

Standard Plan

 

Select Plan

 

Closed Plan

 

Avapro, Avalide, LiquADD

 

Listed items will be added 
to the DACON program, 
effective January 1, 2009.

 

 

Brand copay. 

Coverage determined by the benefit design chosen by the plan sponsor. 

 

Second Tier, 
preferred brand copay.

Coverage determined by
the benefit design chosen by the plan sponsor. 

 

Second Tier, 
preferred brand copay.

Coverage determined by the benefit design chosen by the plan sponsor.

 

Atacand, Atacand-HCT, Cozaar, Hyzaar, Teveten, Teveten-HCT

 

Listed items will be added 
to the DACON program, 
effective January 1, 2009.

 

 

Brand copay. 

Coverage determined by the benefit design chosen by the plan sponsor. 

 

Third Tier, 
nonpreferred brand copay. 

Coverage determined by
the benefit design chosen by the plan sponsor.

 

Not covered.

 

 

 

 

 

 

 

 

 

This newsletter does not imply coverage. Plan booklets provide specific benefit and coverage limitations.