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CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 27, 2025
National Drug Codes (NDC) Are Required for Outpatient ClaimsMedicare AdvantageJune 27, 2025
Specialty pharmacy precertification list expandedEffective November 1, 2025
Axtle, Bizengri, and Bynfezia pen
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJune 3, 2025
Prior authorization updates for medications billed under the medical benefitEffective September 1, 2025
Tevimbra
CommercialJune 2, 2025
Change to Prior Authorization Requirements
Specialty pharmacy updates: June 2025CommercialJune 1, 2025
Unlock updated pharmacy insights today — visit our provider websiteCommercialMay 30, 2025
Key updates to the Designated Medical Specialty Pharmacy Drug ListMedicare AdvantageMay 22, 2025
New specialty pharmacy medical step therapy requirementsEffective July 1, 2025
Pavblu, Ahzantive, Enzeevu, Opuviz, and Yesafili
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingMay 20, 2025
New preapproval requirements for GivlaariEffective August 1, 2025
Medicare AdvantageApril 18, 2025
New specialty pharmacy medical step therapy requirementEffective June 1, 2025
Hercessi
Medicare AdvantageApril 18, 2025
Specialty pharmacy preapproval list updateEffective August 1, 2025
Jubbonti; Wyost
CommercialMarch 27, 2025
Change to Prior Authorization Requirements
Specialty pharmacy updates — April 2025Medicare AdvantageMarch 19, 2025
Medicare Part B preapproval expands with new drug additionsMedicare AdvantageFebruary 28, 2025
Important change to your patients’ specialty prescriptionsEffective April 1, 2025
CommercialFebruary 1, 2025
Pharmacy information available on our provider websiteCommercialFebruary 1, 2025
Designated specialty pharmacy network updatesCommercialJanuary 27, 2025
Key formulary updates: effective January 1, 2025Medicare AdvantageJanuary 1, 2025
Kroger Specialty Pharmacy acquisitionMedicare AdvantageDecember 31, 2024
Important information about specialty prescriptionsCommercialDecember 27, 2024
Weight management program overviewMedicare AdvantageDecember 23, 2024
Specialty pharmacy precertification list expansionEffective March 1, 2025
Medicare AdvantageDecember 23, 2024
Specialty Pharmacy Precertification and Step Therapy list expansionEffective April 1, 2025
Medicare AdvantageDecember 16, 2024
Shortage of repackaged bevacizumab for ophthalmic useCommercialDecember 1, 2024
Pharmacy information available onlineCommercialDecember 1, 2024
Kroger Specialty Pharmacy acquisitionCommercialDecember 1, 2024
Paragon Healthcare joins our medical specialty pharmacy provider network in 2025CommercialNovember 18, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — December 2024Medicare AdvantageNovember 14, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingNovember 8, 2024
Reminder: Take action to protect infants from respiratory syncytial virus this seasonMedicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsCommercialOctober 24, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — November 2024Medicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?CommercialOctober 1, 2024
Pharmacy information available on our provider websiteCommercialSeptember 16, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — October 2024Medicare AdvantageSeptember 1, 2024
Real-time prescription benefitCommercialSeptember 1, 2024
Pharmacy information available on our provider websiteMedicare AdvantageAugust 27, 2024
Anthem expands specialty pharmacy precertification listCodes: C9399, J9999 and J3590
CommercialAugust 26, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — September 2024Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingAugust 9, 2024
New prior authorization and specialty pharmacy medical step therapy requirementsCommercialAugust 1, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — August 2024Tevimbra, Tyenne, and Wezlana
CommercialJuly 25, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — February 2024Note: This article corrects the Clinical Criteria for Spravato (esketamine), which was incorrectly listed in a February 2024 article.
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 23, 2024
Prior authorization updates for medications billed under the medical benefitByooviz
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 11, 2024
Prior authorization updates for medications billed under the medical benefitQalsody and Zynyz
CommercialJuly 1, 2024
Change to Prior Authorization Requirements
Correction: Specialty pharmacy updates — July 2024Medicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listCommercialJune 3, 2024
New GLP-1 prescription referral policyMedicare AdvantageJune 1, 2024
Addressing medication adherence gapsCommercialJune 1, 2024
Pharmacy information available on our provider websiteMedicare AdvantageJune 1, 2024
Improving patient outcomes with statin therapy in diabetesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingMay 10, 2024
CarelonRx, Inc. Mail changed to CarelonRx Pharmacy on January 1, 2024