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Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.

 

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Medicare Provider Update: 2022 Formulary Changes
11/1/2021 • Posted by Provider Relations

On January 1, 2022, some drugs will no longer be covered on our Medicare Part D formulary. To assist our providers, we have included the list below of the most commonly prescribed drugs being removed along with the drug’s 2022 formulary alternative(s). Please refer to the list to identify the appropriate options for your patients.  

Product Name

Formulary Alternative

BYDUREON PEN (product discontinued)

BYDUREON BCISE AUTO INJ

AURYXIA

CALCIUM ACETATE (PHOS BINDER) CAP/TAB, SEVELAMER CARBONATE

TRULANCE

LINZESS CAP, LUBIPROSTONE CAP

BRINZOLAMIDE OPHTH SUSP 1%

AZOPT, DORZOLAMIDE

 

If you determine that it is necessary for your patient to continue to receive the non-formulary drug in 2022, you will need to submit a Coverage Determination request on or after November 1, 2021.

Request forms are located on our website on the Coverage Determinations and Redeterminations for Drugs page www.fideliscare.org/WellcareMedicare/Prescription-Drug-Information  or you can call to request authorization.

If you have any questions, please contact Provider Services at 1-888-FIDELIS.


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