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HMSA QUEST Integration formulary

 

05/14/2019

 

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HMSA QUEST Integration Formulary

 

Starting July 1, 2019, HMSA will be making Basaglar the preferred long-acting insulin product on the HMSA QUEST Formulary. This is part of our effort to manage the rising cost of prescription drugs while making sure that our members continue to have access to the medications they need.

 

To help with the conversions, patients using non-preferred long-acting insulin will have until September 30, 2019, to switch to a preferred product. We encourage you to help your patients switch as soon as possible. If your patients decide to stay on the non-preferred insulin, they may have to pay the full cost of the drug.

 

If you believe your patient should continue taking the current medication, you can request an exception through prior authorization. These requests can be submitted starting July 1, 2019.

 

Medical Necessity Prior Authorization and Exception Requests

 

Call

QUEST Integration: 1 (855) 220-5732 toll-free

Fax

QUEST Integration: 1 (855) 762-5206 toll-free

Hours of operation

7:45 a.m.‒5 p.m. Hawaii time, Monday through Friday

Electronic PA

https://www.covermymeds.com/main/prior-authorization-forms/caremark/

Mail

HMSA

Prior Authorization Department

P.O. Box 30980

Honolulu, HI  96820-9930

 

For more information, call HMSA’s pharmacy benefits manager, CVS Caremark®, at 1 (855) 479-3656
toll-free.

 

Updated formularies are available at https://hmsa.com/portal/provider/HMSA_QUEST_Drug_Formulary_CVS.pdf

 

Thank you for your participation with HMSA and your efforts to improve the quality of care for our members. Their health and safety are important and we value your contribution to their well-being.

 

 

 

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