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March 2017

Online prescription drug lists updated

Blue Cross Blue Shield of Michigan updated its 2017 online prescription drug lists, or formularies.

We update these lists to help ensure patient safety and to help prescribers select the most effective and affordable drug therapy for patients.

You can view the most recent prescription drug list updates at bcbsm.com/rxinfo. You can also see other pharmacy-related information at this link.

These drug lists can help prescribers make better-informed decisions. This can lead to increased medication adherence and help providers explain prescription drug coverage to members.

The Drug List Exclusion list provides a list of FDA-approved drugs that Blue Cross doesn’t cover. The following drugs have been added to this list:

  • Brand name EpiPen® (epinephrine injection, USP) 0.3 mg and EpiPen Jr® (epinephrine injection, USP) 0.15 mg auto injector drugs. For more details, refer to the article in this issue, "Blue Cross and Blue Care Network no longer cover EpiPen® brand drug, starting March 1".
  • Brand name Auvi-Q® (epinephrine injection, USP) 0.15 mg/0.3 mg auto injector drug. Auvi-Q relaunched last month after it was recalled in October 2015 due to a faulty device.

Both of these drugs are used to treat life-threatening allergic reactions, including anaphylaxis, in people who are at risk for or have a history of serious allergic reactions.

Blue Cross will continue to cover the following preferred brand epinephrine autoinjectors:

  • Epinephrine 0.15 mg and 0.3 mg autoinjector (authorized generic for EpiPen Jr/EpiPen)
  • Epinephrine 0.15 mg and 0.3 mg autoinjectors (authorized generics for Adrenaclick)

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2016 American Medical Association. All rights reserved.
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