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October 1, 2019 Pharmacy Updates

PAI is making some adjustments to our prescription drug lists and pharmacy programs as part of our continued effort to cover medications that are appropriate, as well as cost-effective, for members.

Pharmacy Changes Effecitve April & May 2019

These updates apply to PAI groups that use the Caremark Preferred Drug List.

2019 Pharmacy Changes

These updates apply to PAI groups that use the Caremark Preferred Drug List.

Triamcinolone Spray Added to Quantity Management Program

Beginning January 1, 2019, we will add Triamcinolone spray to our Quantity Management program. This applies to PAI's self-funded groups that use the Caremark Preferred Drug List.

Pharmacy Changes Effective January 1, 2019

The changes in this bulletin go into effect January 1, 2019, unless noted otherwise. They apply to PAI groups that use the Caremark Preferred Drug List.

Hurricane Michael Severe Weather - CVS Caremark Assists Members

CVS Pharmacy, CVS Pharmacy Specialty Services, CVS Caremark operations, Coram, AccordantCare, and Omnicare sites are ensuring colleague and member safety, monitoring structural soundness, and working with customers to ensure medication needs are met.

Victoza Update

This is an update to coverage of the drug Victoza. It applies to self-funded PAI groups with Caremark Pharmacy benefits.

CVS Update Regarding Pharmacy Closings due to Hurricane Florence

Please see the following update from CVS regrading pharmacy closings due to Hurricane Florence. Information on other network pharmacies will also be available at the link provided.

Emergency Drug Refills Ahead of Hurricane Florence

As of September 7, 2018, a Governor’s Declaration of Emergency was issued for North Carolina due to severe weather. On September 8, a Governor’s Declaration of Emergency was issued for South Carolina.

Folic Acid / Folate Vitamin Exclusion

By contract, pharmacy benefit coverage does not include multivitamin products. However, we have been covering several folic acid/folate vitamin products that should have been considered benefit exclusions.

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