Gateway Health Plan Medication Formulary

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2022 Gateway Essential Enhanced Preferred Drug List

(7 days ago) WEB2022 Gateway Essential Enhanced Preferred Drug List The following Preferred Drug List is an abbreviated version of commonly prescribed medications.

https://www.cerpassrx.com/wp-content/uploads/2021/09/Gateway_Essential_Enhanced_PDL_1.1.22_v2.pdf

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Gateway Health Plan - MMITNetwork

(7 days ago) WEBGateway Health Plan Specialty Drug List CURRENT AS OF 12/1/2021. Notes. SPA = Specialty Pharmacy Group A. SPB = Specialty Pharmacy Group B. Drug Name: Drug …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=EJMRyK0wN0ewUXHqgeCfHQ

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2022 Gateway Essential Enhanced Preferred Drug List

(3 days ago) WEB2022 Gateway Essential Enhanced Preferred Drug List The following Preferred Drug List is an abbreviated version of commonly prescribed medications.

https://www.cerpassrx.com/wp-content/uploads/2021/11/Gateway_Essential_Enhanced_PDL_v3_1.1.22-For-Hobby-Lobby.pdf

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Prior Authorization Criteria Non-Formulary Medications

(7 days ago) WEBNON-FORMULARY MEDICATIONS AND MEDICATIONS REQUIRING MEDICAL NECESSITY REVIEW PRIOR AUTHORIZATION FORM Please complete and fax all …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=qWDR5gCN5kyyJkc4QC1LlQ

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Main Formulary Search

(9 days ago) WEBWelcome to the Gateway Health Medicare Assured Diamond/Ruby formulary.. You can search the formulary in several ways. You can search the formulary alphabetically by …

https://client.formularynavigator.com/Search.aspx?siteCode=9414324653

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Medical Assistance Drug Search Highmark Wholecare

(2 days ago) WEBMedicaid Drug Search. You can search the formulary alphabetically by selecting the first letter of the brand or generic name of the drug you are looking for. You can also search …

https://www.highmark.com/wholecare/medicaid/member-resources/medication-information-center/drug-search

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Gateway Health Partners, rebate and formulary management

(4 days ago) WEBHello. We’re Gateway Health Partners. We set out to make the complex, confusing world of formulary and rebate management less complex and confusing. We work with PBM’s, …

https://gatewayhealthpartners.com/

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Formulary Optimization - Gateway Health Partners

(5 days ago) WEBFormulary Optimization. One of the clinical tools our clients have access to is the Formulary Optimization Edits (FOEs). This clinical tool helps clients improve their …

https://gatewayhealthpartners.com/solutions/clinical-services/formulary-optimization/

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2022 Gateway Health Medicare Assured Diamond (HMO D-SNP) in

(9 days ago) WEBThe Gateway Health Medicare Assured Diamond (HMO D-SNP) has a monthly premium of $40.70. That is $488.40 for 12 months. There are a few factors that can increase or …

https://q1medicare.com/MedicareAdvantage-2022CHealthPlanBenefitsPlainText.php?state=PA&ZIP=&countyCode=42129&contractId=H5932&planId=001&segmentId=0&plan=Gateway%20Health%20Medicare%20Assured%20Diamond%20(HMO%20D-SNP)%20-%20H5932-001-0

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2023 Gateway Essential Enhanced Preferred Drug List

(8 days ago) WEBThe following is a list of excluded medications with covered preferred alternatives that are on the formulary. Excluded Medications Covered Preferred Alternative(s) ABSORICA …

https://www.cerpassrx.com/wp-content/uploads/2023/06/Gateway-Essential-Enhanced-Formulary_7.1.23-For-Hobby-Lobby-1.pdf

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Gateway Health 2021 Medicaid Supplemental Formulary

(9 days ago) WEB•$1.00 for generic drugs • $3.00 for brand drugs • Copays will apply to any approved prior authorization for a non-formulary drug • Medications within the following specified …

https://fm.formularynavigator.com/FBO/77/PA_Medicaid_Supplemental_Formulary.pdf

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Pennsylvania Medicaid and Medicare Insurance Highmark …

(Just Now) WEBPennsylvania Community Roots. Highmark Wholecare calls Pennsylvania home. We know that working in our communities helps us offer whole care to our neighbors. We proudly …

https://highmark.com/wholecare

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Prescription Drug Listing - Horizon NJ Health

(1 days ago) WEBMost prescription and non-prescription (over-the-counter) drugs are covered at no cost or low cost to you, as long as your doctor orders them and they are listed on our …

https://www.horizonnjhealth.com/sites/default/files/Alphabetical_Formulary_Guide_April_2015_Eng_1.pdf

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Formularies Health Partners Plans

(5 days ago) WEBPlease call the Pharmacy department at 215-991-4300 with questions or feedback. If you have suggestions for additions to the formulary, please submit these requests in writing …

https://www.healthpartnersplans.com/formulary

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The Summary of Benefits and Coverage (SBC) document will …

(8 days ago) WEBIf you participate in the plan’s wellness program, you may be able to reduce your costs. For more information about the wellness program, please contact PEHP Healthy Utah, 801 …

https://gateway.utah.gov/wp-content/uploads/State-of-Utah-STAR-SBC-2024-25.pdf

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Formularies :: The Health Plan

(6 days ago) WEBFormularies. THP Rx offers various plans that cover generic, brand name and non-formulary options. Our formularies are developed to meet the members' needs in a …

https://www.healthplan.org/for-you-and-family/pharmacy/formularies

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A New Use for Wegovy Opens the Door to Medicare Coverage for …

(4 days ago) WEBThis means that the FDA’s approval of the new use for Wegovy potentially opens up access to this drug for 1 in 4 people on Medicare with obesity or overweight. …

https://www.kff.org/medicare/issue-brief/a-new-use-for-wegovy-opens-the-door-to-medicare-coverage-for-millions-of-people-with-obesity/

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Gateway Health 2018 Medicaid Formulary - MMITNetwork

(8 days ago) WEBRequest for Non-Formulary Drug Coverage If changing to a formulary medication is not medically advisable for a patient, a physician must initiate a Request for Non-formulary …

https://fm.formularynavigator.com/MemberPages/pdf/PAMedicaid_3333_Full_562.pdf

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FREQUENTLY ASKED QUESTIONS (FAQs) Medicare Advantage …

(7 days ago) WEBTo enroll in one of the four State contracted D-SNPs, go to www.medicare.gov, call 1-800-MEDICARE (TTY 1-877-486-2048) or contact one of the four D-SNPs below (Note: The …

https://www.nj.gov/humanservices/dmahs/home/D-SNP_FAQ.pdf

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2024 Formulary - CVS Caremark

(4 days ago) WEBA formulary is a list of covered drugs selected by SilverScript in consultation with a team of health care providers, which represents the prescription therapies believed to be a …

https://www.caremark.com/portal/asset/SoMD_FormularyDrugList.pdf

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Gateway Health Medicare Assured Formulary Changes

(7 days ago) WEBWhen a change is made, Gateway Health will notify members who take the drug at least 30 days prior to the effective date of change. However, please note that immediate …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=LSI5_gWzBESpByXYcHLQJw

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBanniversary date, the hospital, physician or health care professional must provide notice again that the service is exhausted or not covered by the primary carrier. 3. Does the …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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