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The criteria document below is for reference only

Even within each area, move at least 1 inch from the previous injection point

Sensible Rx Program Changes ( Clarification from last carrier update Pending formal approval from Insurance Department ): Cost Savings : Encourages use of generics by penalizing brand-name drugs when generics are available helping reduce pharmacy costs for clients and members

Results accelerate as therapeutic doses are reached

Science and Practice

Any Highmark members known to be taking a medication impacted by the formulary deletions or utilization management changes, and their Prescribing Providers, will be informed of these changes in writing by Highmark