The Weekly Generics Campaign continues in this week's Generic News, along with an offer from Welcome New Neighbor and information from Berry Plastics!

In accordance with Kentucky MAC law (Ky.Rev.Stat.Ann. §304.17A-162), the CVS Caremark® Pharmacy Portal may reflect products, as applicable, for which MAC adjustments with retroactive effective dates have been made as a result of granted MAC appeals.

Pharmacies that filled prescriptions on or after the retroactive effective date for patients covered under the same health benefit plan can reverse and resubmit the claim in order to receive payment based on the adjusted maximum allowable cost.

In an effort to control costs while maintaining access to effective drug therapy for members in ACA on and off exchange plans, Medical Mutual of Ohio is transitioning these members to a closed drug formulary effective January 1, 2017. The new formulary is structured to strongly encourage the use of generic and low cost brand drugs.

The most significant difference between the existing formulary and the new formulary is effective January 1, 2017, the formulary will be a closed formulary. In addition to certain drugs being excluded, coverage management programs will continue to apply (e.g. Step Therapy, Quantity Limits, Prior Authorization). If a patient is enrolled in one of these plans and is taking a drug that is NOT on the High Performance Plus formulary, please refer to the preferred alternate medication.