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Medicaid-Covered Diabetic Supplies Now Processed Through Pharmacy - page 5 / 8

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Formulary Updates

  • Colcrys preferred colchine product for Passport Health Plan (PHP) and Passport Advantage (PAD)

    • e FDA mandated that the manufacturing and distribution of unapproved colchicine products cease by December 30, 2010. Colcrys is currently the only FDA-approved single-ingredient colchicine product and the preferred colchicine product for PHP and PAD members. It is indicated for the prophylaxis and the treatment of acute gout flares and the treatment of familial Mediterranean fever in adults and children 4 years of age and older.

Action needed: To minimize disruptions in therapy, PHP and PAD members requiring treatment with colchicine products should be transitioned to Colcrys.

  • Passport Advantage (PAD):

PAD formulary updates may be found at www.passportadvantage.org/pharmacy.

  • Passport Health Plan (PHP):

    • e following changes will occur to the PHP Preferred Drug Listing:

      • Effective March 17th, generic pantoprazole will be preferred first line with omeperazole. For more updates, see the chart beginning on page 7. Generic Drug Additions:

      • Donepezil HCl (generic Aricept) 5mg, 10mg

      • Lansoprazole Solutabs (generic Prevacid Solutabs) 15mg, 30mg for patients <12y/o

      • Amlodipine Besylate/Benazepril HCl (Generic Lotrel) 5/40mg, 10/40mg

Clinical Practice Guidelines Updated

  • e following Passport Health Plan (PHP) Clinical Practice Guidelines have recently been updated and are

available on the PHP web site, www.passporthealthplan.com/provider:

  • Major Depressive Disorder

  • Coronary Artery Disease

  • Preventive Health Services

  • Hypertension

  • 2011 Immunization Schedules

  • e following Passport Advantage (PAD) Clinical Practice Guidelines have recently been updated and are

available on the PAD web site, www.passportadvantage.org/provider:

Chronic Kidney Disease Hypertension

2011 Immunizaiton Schedules

  • Major Depressive Disorder

  • Coronary Artery Disease

  • Preventive Health Services

Pharmacy Claim Processing Quick Reference Guides Updated

  • e PHP and PAD Pharmacy Claim Processing Quick Reference Guides have recently been updated and are

available under the “Pharmacy Tools” sections of our web sites, www.passporthealthplan.com/pharmacy and www.passportadvantage.org/pharmacy.

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