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New in 2017, OptumRx is your resource for pharmacy benefits.
You deserve to know if the medications you’re using are safe, and we’re committed to notifying you and your prescribing doctor of drug recalls. Use this online tool to search for recalls, market withdrawals and safety alerts on FDA-regulated products.
Under your health plan, there’s a lot of pharmacies to choose from. Use this helpful online tool to search for a pharmacy close by that’s covered by your benefit plan and works for you and your family.
Mail order is an easy and affordable way to get the medications you and your family need, along with the convenience of home delivery. Find out if this option is right for you, and get the information you need to sign up.
Some specialty medications like Xeloda, Truvada and Tecfidera are only available through our partner CVS Specialty Pharmacy. A full listing of specialty medications are listed in your 2017 health plan drug list.
Opioids are a type of pain medication that can be helpful in managing pain but can also be subject to overuse. Sharp Health Plan is committed to preventing overuse and protecting patient safety. Effective January 1, 2017, Sharp Health Plan will begin the opioid cumulative dose program for members using opioid drugs when they obtain those medications at the pharmacy. The purpose of the program is to make sure that members do not receive unsafe levels of opioid medications due to receiving multiple prescriptions that contain opioids at the same time, or receiving opioid prescriptions written by multiple prescribers. Our goal is to help protect members from receiving unsafe levels of medication that could cause them harm.
The program will review prescription drug claims for members who are receiving opioid drugs from three or more prescribers. The program will check the morphine-equivalent dosing (MED) of these medications to help avoid overuse. (An MED is a measure of how many milligrams of morphine the medication is estimated to contain, if the member’s medication dose was converted to a similar dose of morphine.)
Sharp Health Plan will apply the appropriate drug utilization review process to ensure access is maintained for needed medications.
If you have any questions about the new opioid cumulative dose program please contact Customer Care.
Page Last Updated: 3/31/2017
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