Medicare: High risk meds not covered in 2012
(November 1, 2011)
Effective January 1, 2012, high-risk medications (HRMs) will be removed from the Priority Health Medicare formulary. This decision is based on recommendations from:
Which meds are considered "high risk"?
View the list of high-risk medications and potential alternatives in the Clinical Resources section of this website.
Letters informing members
In May we mailed a letter to providers of Medicare patients on HRMs. The letter included a list of the patients taking high-risk medications. Similar letters were sent to our members as well.
This month, we will be sending letters to Medicare members informing them that high-risk medications will not be covered effective January 1, 2012. In the letter, we encourage them to discuss covered alternatives with their provider.
Get a list of affected Medicare members
If you would like an updated list of your Medicare patients who are taking high-risk medications, contact your provider account representative.
