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08/18/2021

Priority Health Update

Priority Health Managed Care Committee Member

Flora Varga

Flora Varga, Cancer & Hematology Centers of West Michigan



Priority Health outperforms industry benchmarks for pharmacy costs, extends partnership with Express Scripts


(Grand Rapids, Mich. – Aug. 12, 2021) Priority Health, a nationally recognized nonprofit health plan, announced today that it outperformed regional, national and coalition benchmarks for pharmacy costs by up to 30% in 2020. The company is also extending its partnership with Express Scripts, one of the largest pharmacy benefit managers (PBM) in the nation through 2025.

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New preferred products for Medicare Part B drugs start Oct. 14

Starting Oct. 14, we’ll have preferred products for two classes of Medicare Part B medications: Hyaluronic Acid (HA) Derivatives and Erythropoietin Stimulating Agents (ESA).

We will require patients who have a new prescription to use the preferred products for the Medicare Part B drugs below. Members who are already using the non-preferred products may be changed to preferred products, but this will not be required.  (includes Erythropoietin stimulating agents)   

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