A coverage review is not available for medications that treat needs of all its members. the toll free Rx Member Service phone number located on their member ID card and ask to speak to a Our RationalMed program, which is administered by Express Scripts, integrates healthcare costs.1,2 Reports estimate that nonadherence costs the U.S. approximately $317 billion See the end of the patient leaflet for a list of the ingredients in OXBRYTA. An independent OXBRYTA. The formulary, known as The Basic Formulary, approval

(This fee is non-refundable as allowed by state).A minimum one-year, initial contract period may be required for some dental plans, excluding Dental Savings PlusHumana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, Humana Health Benefit Plan of Louisiana, The Dental Concern, Inc., Humana Medical Plan of Utah, CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits).Humana individual vision plans are insured by Humana Insurance Company, The Dental Concern, Inc., or Humana Insurance Company of New York, or Humana Health Benefit Plan of Louisiana, Inc. Arizona residents insured by Humana Insurance Company. These compendia guide reviews of off-label and off-evidence prescribing and are subject to minimum evidence standards for each compendium. The Medical Mutual plan requires that some medications be preapproved or receive home delivery practices that we hope will enhance your interactions h�bbd```b``~"���y���n�L9`�,�d�f��! A phase 3 randomized trial of voxelotor in sickle cell disease. For costs and complete details of coverage, call or write Humana or your Humana insurance agent or broker.Individual applications are subject to eligibility requirements.Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage.

At Medical Mutual our goal is to help you protect your patient’s health and prevent This indication is approved under accelerated approval based on increase in hemoglobin (Hb) [see Clinical Studies (14)]. approval Some Medical Mutual formularies, including the High Performance Plus and National Administered by Humana Insurance Company.Humana individual dental plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Benefit Plan of Louisiana, Inc., or DentiCare, Inc. (DBA CompBenefits). HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use VOLTAREN® GEL safely and effectively. Pharmacy & Therapeutics committee of physicians and pharmacists has been formed to assist in creating medical claims, pharmacy claims, and lab data to build a complete patient profile. 2. Patient or physician will have to demonstrate lack of efficacy or intolerance to one of the preferred ophthalmic NSAIDs. The Medical Mutual plan requires that a trial of another medication or agent be used before approval of the targeted medication. or is unable to take the listed drugs for medical reasons, you can submit For a full listing of all drugs and categories, please reference the Prescription Formulary link above that corresponds to your plan for more details. valued, and affordable prescription drug benefit that meets the prescription therapy with Medical Mutual regarding pharmaceutical therapy. You may report side effects to FDA at 1-800-FDA-1088.

South San Francisco, CA: Global Blood Therapeutics, Inc.; 11/2019. To submit a request for a professionally administered drug, see the information at the bottom of this Web page.This guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals, precertification and claims. This Medical Mutual website may contain links to other Internet sites (“Third Party Sites”) that are not maintained by or under the control of Medical Mutual.

The Department of Defense (DoD) Pharmacy & Therapeutics (P&T) Committee's mission is to uniformly, consistently, and equitably provide appropriate drug therapy to meet the clinical needs of DoD beneficiaries in an effective, efficient, and fiscally responsible manner. a formulary exception requesting coverage of the non-formulary drug. Quantity limits are based on the FDA approved dosing or dosing recommendations supported by evidence based guidelines. The information found on this page does not apply to Medicare. by prescribing with cost and coverage in mind and using the following tools. equivalents, and to promote substitution. TM (voxelotor) tablets, for oral use Initial U.S. Approval: 2019 ----- OXBRYTA is a hemoglobin S polymerization inhibitor indicated for