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This section provides links to important announcements about
the Prescription Drug Plan. Plan newsletters, updates, new
drug releases, and other changes are listed here in chronological
order.
Check this page frequently for the latest information.
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July 2008
2009 Rx co-pays announced, July 14, 2008
April 2008
Digitek Recall Notice, April 30, 2008
January 2008
Antihistamine Coverage Changes, January 7, 2008
2008 Coverage of Newer Antimistamines Questions and Answers
Drug Reviews, December 2007 - January 2008
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
July 2007
Drug Reviews, July 2007
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
May 2007
Omeprazole 20mg Now Covered with a Generic Co-Pay. Nexium and Protonix will be Tier 3, Non-Preferred, Effective July 1, 2007
The University of Michigan Pharmaceutical Benefits Advisory Committee (PBAC) reviewed the Proton Pump Inhibitor (PPI) drug class and made several recommendations for coverage changes. For more information, click here for the announcement (PDF).
For further details on the change, see PPI Changes for July '07 Questions and Answers (PDF).
Drug Reviews, May 2007
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
April 30, 2007
Allergic Conjunctivitis Eye Drops Coverage Changes, effective June 1, 2007.
Drug Reviews, April 2007
Drugs reviewed and determined for formulary inclusion and tier placement by the U-M Pharmaceutical Benefits Advisory Committee.
April 10, 2007
Drug Reviews, March 2007
Drugs reviewed and determined for formulary inclusion and tier placement by the U-M Pharmaceutical Benefits Advisory Committee.
April 9, 2007
FDA withdraws Zelnorm & Permax due to safety
Zelnorm (tegaserod) is used for short-term treatment of women with irritable bowel syndrome with constipation and for patients younger than 65 years with chronic constipation. Zelnorm (tegasreod) has been removed from the market at the request of the U.S. Food and Drug Administration (FDA) due to a new safety analysis that found a greater chance of heart attack, stroke, and worsening heart chest pain that can develop into a heart attack in patients treated with Zelnorm. Additional information may be obtained at: http://www.fda.gov/cder/drug/advisory/tegaserod.htm
Permax (pergolide) is used to manage the signs and symptoms of Parkinson’s disease. Permax (pergolide) has been taken off the market since two new studies revealed that patients with Parkinson’s disease who were treated with pergolide had an increased chance of serious damage to their heart valves when compared to patients who did not receive the drug. Additional information may be obtained at http://www.fda.gov/cder/drug/advisory/pergolide.htm
April 1, 2007
Pill-Splitting Program expanded to include Crestor
Effective 4-1-07, members taking Crestor 5mg, 10mg, or 20mg doses, who split the higher strength tablets will save 50% on their co-pay or coinsurance. For full details on the pill-splitting program access the Pill-Splitting Instructions (PDF), Retail Pharmacy Pill-Splitter Billing Instructions (PDF), and the Pill-Splitting Executive Summary.
March 2007
U-M Prescription Drug Plan 2006 Customer Satisfaction Survey
The 2006 U-M Prescription Drug Plan Customer Satisfaction Survey provides information on drug plan member satisfaction, opinions on drug plan vendors and pharmacies, and member preferences for potential plan changes. The 2006 survey was distributed October through December 2006 to over 4,100 drug plan utilizers. Full Report and Customer Satisfaction Survey Results (PDF)
January/February 2007
Drug Reviews, January/February 2007
Drugs reviewed and determined for formulary inclusion and tier placement by the U-M Pharmaceutical Benefits Advisory Committee.
December 2006
Drug Reviews, December 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the U-M Pharmaceutical Benefits Advisory Committee.
U-M Specialty Drug Program Expands Jan. 1, 2007
The University of Michigan Hospitals and Health Centers is eligible for special reduced drug pricing, presenting an opportunity for U-M Prescription Drug Plan members and dependents to reduce their out-of-pocket cost for a select group of specialty drugs.
November 2006
Drug Reviews, November 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the U-M Pharmaceutical Benefits Advisory Committee.
Lipitor 10mg, 20mg, 40mg and All Strengths of Vytorin Will be Tier 3, Non-preferred Effective January 1, 2007
Statins are widely used prescription drugs that are highly effective at reducing cholesterol (LDL cholesterol) and decreasing the risk of major cardiovascular events. The U-M Prescription Drug Plan bases its coverage decisions on a foundation of evidence-based medicine and has consistently reinforced the merits of generic medications. In 2006, the statins pravastatin and simvastatin became available generically. These two generic market entries are in addition to the already available lovastatin, bringing the number of generics available in the class to three. The summary of clinical evidence indicates that any of the statins are effective for patients to meet most goals of cholesterol (LDL) reduction. Lipitor 80mg will continue to be a Tier 2, preferred agent for those patients who require very high reductions in cholesterol (LDL).
For further details of the change, see Statin Changes for 2007: Questions and Answers (PDF).
October 2006
Drug Reviews, October 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the U-M Pharmaceutical Benefits Advisory Committee.
September 2006
Pill-Splitting Program expanded to include lovastatin
Effective 10-1-06, members taking lovastatin 10mg or lovastatin 20mg daily doses, who split the higher strength tablets will save 50% on their co-pay or coinsurance. For full details on the pill-splitting program access the Pill-Splitting Instructions (PDF), Retail Pharmacy Pill-Splitter Billing Instructions (PDF), and the Pill-Splitting Executive Summary.
Drug Reviews, September 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
Drug Reviews, August 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
August 2006
Drug Reviews, July 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
July 2006
MHealthy: Focus on Diabetes
MHealthy: Focus on Diabetes is a program that will eliminate or reduce the cost of selected medications for U-M employees and dependents who have diabetes. The two-year pilot program begins on July 1 and will encourage the proper and sustained use of specific drugs that affect blood sugar, blood pressure, cholesterol and depression and help prevent or reduce the long-term complications of diabetes. Information is available on the MHealthy Web site at:
http://www.umich.edu/~hraa/mhealthy/improve/diabetes.html
Drug Reviews, May and June 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
May 2006
Drug Reviews, April 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
March 2006
Drug Reviews, January - March, 2006
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
December 2005
Pill-Splitting Instructions (PDF)
Beginning January 1, 2006 the U-M Prescription Drug Plan will allow you to reduce your out-of-pocket costs on prescriptions for Lipitor, Pravachol, and Zocor by voluntarily particpating in the pill-splitting incentive program.
Retail Pharmacy Pill-Splitter Billing Instructions (PDF)
If your RETAIL pharmacy needs assistance on how to process a pill-splitter, please download these instructions and give them to your pharmacist.
Pill-Splitting Executive Summary, October 2005
The study evaluated the impact of pill splitting on economic and pharmacologic outcomes, as well as patient satisfaction.
2006 Prescription Drug Plan Welcome Letter (PDF)
Walgreens Mail Service Pharmacy Questions and Answers (PDF)
U-M Preferred Drug List (PDF)
September 2005
Prescription Drug Plan Customer Satisfaction Survey Results Announced
Customer Satisfaction Survey
2005 Final Report (PDF)
August 2005
Benzoyl Peroxide coverage ends October 1, 2005
Drug Reviews, August 2005
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
July 2005
Drug Reviews, July 2005
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
June 2005
U-M Specialty Drug Pilot Program, July 2005
The University of Michigan Hospitals and Health Centers is eligible for special reduced drug pricing, presenting an opportunity for U-M Prescription Drug Plan members and dependents to reduce their out-of-pocket cost for a select group of maintenance specialty drugs.
Drug Reviews, June 2005
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
May 2005
Drug Reviews, March, April, and May 2005
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
April 2005
Bextra® Removed From the Market Due To Safety Concerns, effective April 7, 2005
March 2005
Drug Tier Changes, effective April 1, 2005
Elidel® and Protopic® will be restricted to patients over the age of 2 due to safety concerns, effective April 1, 2005.
Lac-Hydrin Coverage ends April 1, 2005
February 2005
Drug Reviews, February 2005
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
December 2004
COX-2 Medications and Heart Disease, December 23, 2004
Drug Reviews, September through December, 2004
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
Bextra® Coverage will be restricted effective 2-1-05 due to safety concerns
September 2004
Vioxx® Withdrawal from Market Announced by Merck 9-30-04
August 2004
Drug Reviews, July and August, 2004
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
Prescription Drug Plan 90-Day Supplies Available at Retail Pharmacies, new policy effective September 1, 2004
July 2004
Seasonale: New extended-cycle oral contraceptive, July 19, 2004
Drug Reviews, June 2004
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
June 2004
Drug Reviews, April - May 2004
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
May 2004
Diabetic Injectable Insulin and Supplies Clarification, May 3, 2004
Clarification on what is covered by the Prescription Drug Plan or by your Medical Insurance plan.
Drug Reviews, January - March 2004
Drugs reviewed and determined for formulary inclusion and tier placement by the UM Pharmaceutical Benefits Advisory Committee.
April
2004
Generic
Incentive Program Update, April 26, 2004
The Generic Incentive Program has been
updated, effective May 1, 2004.
Generic
Incentive Program Correction, April 26, 2004
An error in the system has been found and
corrected.
March
2004
AdvancePCS
Merges with Caremark Rx, March 24, 2004
On March 24, U-M’s Prescription Drug
Plan provider, AdvancePCS, finalized a merger with Caremark
Rx, Inc., another pharmaceutical services company. U-M pharmacy
benefits are not affected by the merger. Faculty and staff
members can continue to use the same AdvancePCS prescription
drug cards at the same network pharmacies.
While
Caremark plans to integrate the two companies over time,
all existing mailing addresses, including claims, remain
the same. Mail order pharmacy services are unaffected. The
AdvancePCS Web site will also remain in place during the
transition. For details on the merger, please visit the
AdvancePCS site at www.advancepcs.com.
Information
about Medicare-Approved Drug Discount Cards, March 22,
2004
February
2004
Drug Reviews, January - February
2004
Drugs reviewed and determined for formulary
inclusion and tier placement by the UM Pharmaceutical Benefits
Advisory Committee. For a comprehensive list of
the 2003 drug reviews, see the November
2003 update.
January
2004
The
ADD/Narcolepsy drug class was inadvertently
omitted from the list of Drugs Requiring Prior Authorization
printed on page 18 in the "2004 Prescription Drug Plan"
booklet. The missing information is below.
|
Drug Class |
Examples of Drugs in Class |
|
ADD/Narcolepsy (age 18 and over) |
Adderall, Adderall XR, Concerta, Cylert, Desoxyn, Dexedrine,
Dextrostat, Focalin, Metadate CD, Metadate ER, Provigil,
Ritalin, Ritalin LA |
For
a complete list of drugs requiring prior authorization,
see Prior Authorization.
November
2003
Drug
Reviews, January – November, 2003
Drugs reviewed and determined for formulary
inclusion and tier placement by the UM Pharmaceutical Benefits
Advisory Committee.
September
2003
Drug
Reviews, January – September, 2003
Drugs reviewed and determined for formulary
inclusion and tier placement by the UM Pharmaceutical Benefits
Advisory Committee.
IRS
Approves Non-Prescription Drug Expenses for Health Care
Flexible Spending Accounts, September 12, 2003
The Treasury Department and the Internal
Revenue Service (IRS) recently ruled that certain non-prescription
drug expenses may be reimbursed from pre-tax health care
dollars contributed by an employee to a Health Care Flexible
Spending Account (FSA).
OTC
and Other Drug Exclusions, September 3, 2003
The UM Pharmacy Benefits Oversight Committee
approved the following change on 8/31/03 to the UM prescription
drug plan exclusion listing for over-the-counter medications:
Over-the-counter (OTC) medications and any prescription
medication that contains the same active ingredient(s) at
the same strength as an existing over-the-counter medication.
August
2003
Drug
Reviews, April–July 2003
Drugs reviewed and determined for formulary
inclusion and tier placement by the UM Pharmaceutical Benefits
Advisory Committee.
May
2003
Lipitor
Recall, May 27, 2003
The Food and Drug Administration (FDA)
announced on May 23, 2003 that Albers Medical Distributors,
Inc., has voluntarily recalled three lots of 90-count bottles
of the cholesterol-lowering drug Lipitor.
April
2003
Surviving
the Peak Allergy Season, April 7, 2003
To learn more about allergies and the medications
used to treat them, please see the article from M-CARE's
HouseCall newsletter.
March 2003
Diabetic Injectable Insulin and Supplies Clarification,
March 28, 2003
Clarification on what is covered by the Prescription
Drug Plan or by your Medical Insurance plan. Updated May 2004.
Drug
Release,
March 2003
Drugs reviewed and determined for formulary
inclusion and tier placement by the UM Pharmaceutical Benefits
Advisory Committee.
February
2003
Coordination
of Benefits (COB), February 2003
Coordination of Benefits added to the UM
Prescription Drug Plan.
January
- February 2003
Drug
Reviews, January and February 2003
Drugs reviewed and determined for formulary
inclusion and tier placement by the UM Pharmaceutical Benefits
Advisory Committee.
December
2002
Claritin
and Claritin-D, December 20, 2002
Claritin and Claritin-D (generic loratadine and
loratadine/pseudoephedrine sulfate) approved by FDA
for over-the-counter sale.
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