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Updates

Prescription Coverage Formularies Clinical Programs Pharmacy-related Grievances, Appeals, & Exceptions Complete Pharmacy Network Vaccine Program

Clinical Programs

2012 Plan Information

Download the current Step Therapy Criteria (pdf)

Download the current Prior Authorization Criteria (pdf)

Download the current Quantity Level Limits Drug List (pdf)

Download the current Medication Therapy Management Information (pdf)

Download the current Medication Therapy Management Pharmacy Network (xlsx)

Influenza/H1N1 Vaccines

We are pleased to announce that effective September 1, SCO members will be able to receive their flu/H1N1 vaccine at participating pharmacies in Commonwealth Care Alliance's pharmacy network. This will make it easier for members to receive vaccines by certified clinicians as they wait for their prescriptions to be filled.

This service is not only limited to the flu/H1N1 vaccine. Other vaccines such as Zostavax, Engerix B, and Tetanus Dipheteria will also be covered and administered in certified, participating pharmacies. Please click on the link to view the complete list of covered vaccines and participating pharmacies.

Download the Covered Vaccines List (xls)

Download the Massachusetts Vaccine Network (xls)

Download the National Vaccine Network (zip)

To download these documents, you must have Adobe Acrobat Reader installed. If you do not have Adobe Acrobat Reader installed on your computer, click here to download and install a free version of Adobe Acrobat Reader or click on the Adobe Acrobat Reader icon below.

Get Adobe Reader

To search an Adobe PDF file using Adobe Acrobat Reader, click on the "Search" icon (the button with the binoculars) on the Acrobat file toolbar or choose "Edit > Search" from the Acrobat menu. In the "Search PDF" window that opens, type in the word or phrase you are looking for and click on "Search".

The cursor will jump to the first place in the document that word or phrase appears and a search results box will appear listing all the occurrences of that word or phrase. You can jump to any particular instance of the word or phrase by clicking on that item in the results box. You can also use the "Edit > Search Results > Next Result" or "Edit > Search Results > Previous Result" in the Acrobat menu to navigate forwards or backwards to the next item.

Last Updated 1/1/12