0000017832 00000 n This form or a prior authorization used by a health plan may be used.The Step Therapy criteria for drugs indicated on the Medicaid Health Plan Common Formulary as requiring ST is below:Frequently Asked Questions for Drug Manufacturers This new initiative is called the Single PDL and is expected to result in significant savings to the State of Michigan while further streamlining and resulting in more consistent coverage between Managed and Fee-For-Service Medicaid. G-3245 Beecher Road • Flint, Michigan • 48532 tel 888-327-0671 • fax 833-540-8648 McLarenHealthPlan.org MHP20190104 Rev. 0000003156 00000 n 0000041083 00000 n Table of Contents … Provided by Elixir . Effective October 1, 2020, the Medicaid Health plans will be required to follow the Fee-For-Service Michigan Preferred Drug List coverage including any prior authorization and step therapy requirements.
0000004418 00000 n 498 56 0000023930 00000 n The public may submit comments on the drugs included or not included on the Common Formulary, new drug products, prior authorization criteria, step therapy criteria and other topics related to drug coverage under the Common Formulary. Another way to prevent getting this page in the future is to use Privacy Pass. 2020 Formulary. 2020 List of Covered Drugs/Formulary Aetna Better Health SM Premier Plan Aetna Better Health Premier Plan (Medicare-Medicaid Plan) is a health plan that contracts with Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Key * Generic Available AG Age Limits F Females Only M Males Only OTC Over the Counter P Preventive PA Prior Authorization QL Quantity Limit SP Specialty Pharmacy
0000002051 00000 n In order to streamline drug coverage policies for Medicaid and Healthy Michigan Plan members and providers, the Michigan Department of Health and Human Services (MDHHS) has created a formulary that is common across all contracted Medicaid Health Plans (MHPs) for the current Comprehensive Health Plan Contract. 0000048166 00000 n 0000023474 00000 n Completing the CAPTCHA proves you are a human and gives you temporary access to the web property.If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware.If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. Drug Exception Form.
0000027588 00000 n This formulary is up to date through its date of publication, 7/30/2020. This document is called the .
0000018229 00000 n 0000000016 00000 n 0000013510 00000 n Drugs may be added or removed from our list of drugs during the year.
0000034096 00000 n
0000041340 00000 n 3677 0 obj <>/Filter/FlateDecode/ID[<99C0E33DC0F0D14FABAC2762206A057E><26473375122E234BA37265C6B7C1E7F3>]/Index[3656 50]/Info 3655 0 R/Length 98/Prev 577609/Root 3657 0 R/Size 3706/Type/XRef/W[1 2 1]>>stream 0000003933 00000 n You may need to download version 2.0 now from the In addition, plans may enforce drug utilization management policies such as quantity limits, age and gender edits, prior authorization criteria and step therapies that are less restrictive than the coverage parameters of the Medicaid Health Plan Common Formulary.
Effective September 2020 . 2020 List of Covered Drugs/Formulary Aetna Better HealthSM Premier Plan Aetna Better Health Premier Plan (Medicare-Medicaid Plan) is a health plan that contracts with Medicare and Michigan Medicaid to provide benefits of both programs to enrollees.
0000023113 00000 n 0000091142 00000 n