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Pharmacy coverage updates effective February 15, 2024 (Medicaid)

We have recently updated our prior authorization list and coverage policies for Medicaid patients. This change is effective for dates of service on or after February 15, 2024.

Change: Removed from formulary

  • Basaglar; consider Lantus Solostar, Rezvoglar

In addition to the above change, we have updated the formulary to include a number of new medications that have been released in the past year. For a complete formulary listing, please visit our Find a drug: Medicaid page. 

If you have questions regarding these changes, please contact your PacificSource Provider Service Representative or the PacificSource Pharmacy Services Team at 888-437-7728, TTY: 711. We accept all relay calls.