We are updating our formulary (or drug list) in 2020. We have notified members who are currently taking drugs that have formulary changes for next year. Our communications directed members to work with their providers if they had questions about their medications. To help make this a smooth transition, we are honoring all existing pharmacy prior authorizations until the date noted on the member’s original approval letter from Sharp Health Plan.
Please note, your clients who are enrolled in benefits on our Tier 3 formulary will have a 31-day grace period on their current medications if they are impacted negatively by the 2020 formulary changes. These clients will have until Feb. 1, 2020 before the negative changes go into effect. All other changes will still be effective Jan. 1, 2020. We notified your clients of their specific effective dates in our communications. If you want to check what Tier formulary your client is on, you can contact your account management executive.