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, if you are enrolled in benefits on our Tier 3 formulary, your employees will have a 31-day grace period on their current medications if they are negatively impacted by the 2020 formulary changes. These employees will have until Feb. 1, 2020 before the negative changes go into effect. All other changes will still be effective Jan. 1, 2020. We have notified your employees, and their doctors, of their specific formulary effective dates in our communications. If you aren’t sure what Tier formulary you’re enrolled in, please contact your account management executive.