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emblemhealth2014

Emblem Helath releases updated RX formulary
Note – different formularies for small group and large group for 2017.  The only formulary documents maintained for LG (premier) and SG (Select) are the summary documents that are attached.  These documents show the preferred agents.  The documents get updated quarterly.  The ones for the 1/1 post are not currently available, however there will be no significant changes to the preferred agents starting 1/1.

The major difference is that certain non-preferred drugs will be excluded at POS and would require a determination if the members requires that medication.  Please see attached file of changes.