Pharmacy Benefit Updates Since Your Last Issue

Dean Health Plan (DHP) has a Web-based PDF document that lists all the formulary medications and their corresponding tier level. The list is at www.deancare.com. Click on “Dean Health Plan,” then “Members,” then “Pharmacy Information,” then “Drug Formulary.” You can search the document easily by clicking the binoculars icon on your toolbar. Our Website includes two additional lists that may be viewed online: the Drug Prior-Authorization List with Drugs Restricted to Certain Specialists and the Drug Exclusion List. You can also call Customer Service at 608-828-1301 or toll-free 800-279-1301 for a complete copy of either list or more information about your prescription drug benefit.

Drug Prior-Authorization List

The medications on this list require prior authorization (PA) by DHP. Brand names are listed first, with the generic name in parentheses.

Added to PA List

bexarotene (Targretin^®)
vorinostat (Zolinza^TM)

As drugs are approved by the U.S. Food and Drug Administration (FDA), we may add them to this list. Your physician or pharmacist should fill out a Drug Prior Authorization Request Form. For urgent authorizations, your physician should call Customer Service.

Drugs Restricted to Certain Specialists (RS)

The drugs on this list are covered only when prescribed by the specific specialties. Submission of prior authorization is not required for the specialties indicated. These drugs are not available for all other specialties.

Revised on RS List

bexarotene (Targretin^®): oncology and dermatology clinicians
vorinostat (Zolinza^TM): oncology and dermatology clinicians
posaconazole (Noxafil^®): oncology and infectious disease clinicians

Drug Exclusion List

Our drug benefit does not automatically cover every new drug that the FDA approves. We have a panel of physicians from many different specialties to evaluate new drugs. If an excluded drug has been prescribed for you, ask your physician or pharmacist whether he or she can substitute it with one of the medications we cover.

Added to DE list

paliperidone (Invega^TM)
telbivudine (Tyzeka^TM)

General exclusions: Nonprescription over-thecounter drugs, weight-loss products, drugs for cosmetic use and oral medications for the treatment of sexual dysfunction

Please note: Some members may have coverage for some of these drugs based on their individual pharmacy benefit or an authorization from DHP.

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