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UHC BriovaRx® Specialty Pharmacy Transition Update
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Feb 12, 2016
As you know, UHC has started to move members taking specialty medications from OptumRx to BriovaRx®. The schedule for future waves is now finalized as shown below.
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Wave
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Date
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Therapeutic Classes
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Pilot
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Nov. 2, 2015
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- Cystic Fibrosis
- Oral Oncology: Nexavar/Stivarga/Xtandi
- PCSK9 Inhibitors
|
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Pilot
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Feb. 1
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Xeloda
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1
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Early March – early April
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- Remaining Oral Oncology (excluding those with Risk Evaluation Mitigation Strategy -REMS – requirements )
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2
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Early April
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- Multiple Sclerosis
- Growth Hormone
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3
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Early May
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|
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4
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Late May
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- Transplant
- Hepatitis B
- Hepatitis C
- HIV
- Pulmonary Arterial Hypertension
|
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5
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Mid-June
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- Chelating Agents
- Endocrine Agents
- Enzyme Replacement Therapy
- Hematologic Agents
- Hereditary Angioedema
- Osteoporosis
- Oral Oncology (remaining with REMs requirements)
- Hyaluronic Acid
- IV Oncology
|
|
6
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Late June
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- Antiemetic
- Antipsychotic
- Asthma
- Botulinum Toxins
- Hemophilia
- Fertility
- Immune Globulin
- Lupus
- Macular Degeneration
- Parkinson’s Disease
- Pulmonary Fibrosis
- RSV
- Vaccine
- Misc. office-based drugs
|
|
7
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Early July
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- All remaining scripts that come in from June 27 – July 8
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What does this mean for your clients’ employees?
OptumRx will call members to introduce them to BriovaRx and walk them through the process. They will also receive a letter explaining the change. All of their specialty prescriptions will be automatically transferred to the new specialty pharmacy. When they receive their next refill with BriovaRx, their shipment will include a welcome kit, an introduction letter to BriovaRx and new condition-specific educational materials.
Here is a summary of the changes they may experience:
- New branding – BriovaRx will appear on their materials, medication packaging, website, and calls will be answered as BriovaRx.
- New refill process – There is a new online form specifically for specialty medications.
- New refill phone number – Members will have a new toll-free number but the experience with customer care will be the same.
- Faster shipping: The goal of BriovaRx is to offer shipping flexibility so some members may get their medication even faster.
- New services - Innovative member tools for a more tailored care experience (these are available for select classes)
- BriovaLive™ - video consultation with a pharmacist to ‘unbox’ their first fill
- BriovaCommunity™ – website customized specifically to each member with custom content tailored to their therapy
- Briova Bundle – free supplies specific to the condition
All other experiences and services remain the same: member cost share, pharmacist availability, clinical management programs, refills and deliveries, free supplies, credit card on file, and claims history.
For questions, please contact a member of your b&p Sales Team - 888.722.3373.
