RESOURCE CENTER

Prescription
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Compounds added to Medical Necessity Determination list
Eff 5/1/14, medical necessity will be required for certain compounds. Compounds are made by pharmacists, from several different drugs and are not commerically manufactured. Letters will be sent to members.
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2014 Medicare part D Creditable Coverage Determinations
This is a overview of the creditable coverage results used by Horizon to determine Rx status. You will need to determine your clients' current Rx code. Employers who offer Rx, must advise all employees of Rx creditable status by 10/15.
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11.12.2012
Small group CDH plan Rx changes
As of 12/1/12, small group (2-50) CDH plan designs will be in line with all other SEH products, utilizing the Advantage formulary and imposing a form of step-therapy and prior authorization.
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08.03.2012
Horizon formulary drug changes effective July 2012
Horizon notice advising of formulary list updates effective 7/1/12, including drugs moved from preferred to non-preferred, or vice versa...
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07.03.2012
Advantage Formulary Update
Effective 8/1/12, Horizon is adding a new therapeutic category - acne medications. Members who use drugs to treat acne will be required to try a generic alternative of get prior authorization before they are eligible to receive coverage for NP drugs.
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04.13.2012
Horizon formulary drug changes effective April 2012
Horizon notice advising of formulary list updates effective 4/1/12, including drugs moved from preferred to non-preferred, or vice versa...
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01.13.2012
Horizon formulary drug changes effective January 2012
Horizon notice advising of formulary list updates effective 1/1/12, including drugs moved from preferred to non-preferred, or vice versa...
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09.30.2011
Horizon formulary drug changes effective October 2011
Horizon notice advising of formulary list updates effective 10/1/11, including drugs moved from preferred to non-preferred, or vice versa...
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