Reminder: Medications Covered Under Prescription Drug Benefit
As previously announced, effective for claims adjudicated on and after January 1, 2010, the following drugs are covered only under the member’s prescription drug benefit and are not covered under the medical benefit:
- Apokyn® (J0364)
- Fuzeon® (J1324)
- Hycamtin® (J8705)
- Increlex® (J2170)
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- Infergen® (J9212)
- Temodar® (J8700)
- Xeloda® (J8520)
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This change applies to Tufts Health Plan commercial and Tufts Health Plan Medicare Preferred members. Members of commercial plans must obtain these drugs at the appropriate designated specialty pharmacy.
May 1, 2010
Note: The information in this article was correct as of the date of posting and may not reflect subsequent policy changes.