June 19, 2025
Effective June 1, 2025, the benefit limit for some medications will be changing from a 90-day supply maximum to a 30-day supply maximum. This change is effective for the Health Partners Plans Medicaid and Health Partners Plans CHIP lines of business.
The affected drugs are listed below. Please note that these drugs may require Prior Authorization.
Medication Class |
Affected Medications |
New Limit |
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Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists |
Bydureon Byetta Liraglutide Ozempic |
Rybelsus Trulicity Victoza |
Maximum 30-day supply per fill |
|
Glucagon-Like Peptide-1 (GLP-1) Receptor Agonist/Insulin Combinations |
Soliqua Xultophy |
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Calcitonin Gene Related Peptides (CGRP) |
Aimovig Emgality |
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For the most up-to-date information regarding Health Partners Plans’ formularies, please visit our formularies page at hpplans.com/formularies. For more information, call our Pharmacy department at 215-991-4300 or our Provider Services Helpline at 1-888-991-9023 (Monday to Friday, 9 a.m. to 4:30 p.m.).
Thank you for your cooperation in improving the quality of care you deliver to your patients and our members.
Thank you for being a valued provider for members in one or more of our health plans: Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, and/or Jefferson Health Plans Individual and Family Plans.