10/28/2025: Drug coverage changes coming Jan. 1, 2026
Drug coverage changes coming for select members
10/15/2025: IXCHIQ and Ocaliva withdrawn from market due to safety concerns
IXCHIQ and Ocaliva withdrawn from the market due to potential safety concerns
09/03/2025: We've improved our Medical Benefit Drug List
Updating the format of our MBDL
09/02/2025: Coverage changes coming for OneTouch® and Accu-Chek Guide testing supplies
Changes to coverage for some diabetic supplies
Recall of Sucralfate 1 gram tablets manufactured by Nostrum Laboratories, Inc.
Recall of Sucralfate 1 gram tablets manufactured by Nostrum Laboratories, Inc.
08/06/2025 Provider news: Medicare PA criteria updates take effect Oct. 1 for non-preferred hyaluronic acid products
Medicare PA criteria updates take effect Oct. 1 for non-preferred hyaluronic acid products.
Updates to Arine MTM faxes
Arine, our Medication Therapy Management (MTM) vendor, is updating how patient information is organized in MTM faxes.
Medicaid formulary changes coming Feb. 1, 2025
Medicaid formulary changes coming soon
Partnering with Arine for medication adherence
We’re partnering with Arine, our Medication Therapy Management (MTM) vendor, to support medication adherence for Priority Health PPO members who are noncompliant or tracking toward noncompliance with their medication.
Coverage changes coming for Stelara, Yesintek and Selarsdi
Coverage changes coming for Stelara, Yesintek and Selarsdi | Provider | Priority Health
Processes for submitting drug coverage authorization requests
Documenting our processes for submitting drug coverage authorization requests
Commercial and Medicaid formulary changes coming
Commercial and Medicaid formulary changes coming