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UHC BriovaRx® Specialty Pharmacy Transition Update

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.

Wave

Date

Therapeutic Classes

Pilot

Nov. 2, 2015

  • Cystic Fibrosis
  • Oral Oncology: Nexavar/Stivarga/Xtandi
  • PCSK9 Inhibitors

Pilot

Feb. 1

Xeloda

1

Early March – early April

  • Remaining Oral Oncology (excluding those with Risk Evaluation Mitigation Strategy  -REMS – requirements )

2

Early April

  • Multiple Sclerosis
  • Growth Hormone

3

Early May

  • Inflammatory Conditions

4

Late May

  • Transplant
  • Hepatitis B
  • Hepatitis C
  • HIV
  • Pulmonary Arterial Hypertension

5

Mid-June

  • Chelating Agents
  • Endocrine Agents
  • Enzyme Replacement Therapy
  • Hematologic Agents
  • Hereditary Angioedema
  • Osteoporosis
  • Oral Oncology (remaining with REMs requirements)
  • Hyaluronic Acid
  • IV Oncology

6

Late June

  • Antiemetic
  • Antipsychotic
  • Asthma
  • Botulinum Toxins
  • Hemophilia
  • Fertility
  • Immune Globulin
  • Lupus
  • Macular Degeneration
  • Parkinson’s Disease
  • Pulmonary Fibrosis
  • RSV
  • Vaccine
  • Misc. office-based drugs

7

Early July

  • All remaining scripts that come in from June 27 – July 8

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:

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.

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