Long-acting reversible contraceptive office administration

Use the options outlined in this bulletin to receive the below long-acting reversible contraceptives for administration at your office. These drugs can only be obtained under the medical benefit using the following instructions. As always, you also have the buy and bill option under the member’s medical benefit.

 

Therapeutic class	Drug
Long-acting reversible contraceptives	Kyleena® 19.5 mg system Mirena® system Liletta® 52 mg system Skyla® system Nexplanon® 68 mg implant Paragard® T 380-A IUD

 

Kyleena, Mirena, Liletta and Skyla: If you choose CVS/Caremark Specialty Pharmacy under the medical benefit, they are available to assist you Monday to Friday from 7:30 a.m. to 7:30 p.m. ET and can accept the prescription using a method convenient for you. The prescription can be given over the phone to a CVS Specialty pharmacist by calling 1-877-254-0015 and providing the patient’s name and insurance information. The prescription or the completed manufacturer form can also be faxed to 1-866-336-8479.

 

Nexplanon: You must follow the manufacturer’s instructions by calling 1-844-NEX-4321 (1-844-639-4321) Monday to Friday from 8 a.m. to 8 p.m. ET or visiting https://www.merckconnect.com/nexplanon/ordering-billing.html. After this, you have the option to use CVS/Caremark Specialty Pharmacy under the medical benefit.

 

Paragard: You must use the buy and bill option. Call Paragard Access Solutions at 1-877-PARAGARD (1-877-727-2427) Monday to Friday from 8:30 a.m. to 8 p.m. ET or visit www.paragardaccesssolutions.com. Use the Paragard direct option for providers.

 

What if I need assistance?

If you need further assistance, contact your local Network Relations representative or call Provider Services at 1-866-408-6132 for Hoosier Healthwise, 1-844-533-1995 for Healthy Indiana Plan or 1‑844‑284‑1798 for Hoosier Care Connect.