Published January 2025

Below is a list of medications recently reviewed by the MVP Pharmacy and Therapeutics Committee. For coverage information regarding these medications, please review the MVP Formularies. For more detailed information regarding pharmacy changes, please review our Provider FastFax Library orreview all MVP Health Care Medical Policies.

A list of upcoming formulary changes for Plan Year 2025 is available for review: 2025 Commercial and Marketplace Formulary Changes. Changes will take effect on the member’s pharmacy “Plan Year” start date.

Drugs removed from prior authorization for Commercial, Marketplace, and Self-Funded formularies

Iwilfin
Eohilia

New Drugs excluded for Commercial, Marketplace, and Self-Funded formularies

Alvaiz
Filsuvez
Zymfentra
Voydeya
Fabhalta
Idose

New generics that recently came to market

Brand Name Generic Name
Victoza Liraglutide
Radicava Edaravone
Endari Glutamine powder
Corlanor Ivabradine tablets
Lucemyra Lofexidine tablets
Emflaza Deflazacort
Sprycel Dasatinib
Oxtellar Oxcarbazepine

Policy Updates

Review other articles in this issue regarding formulary, pharmacy policy, and medical policy updates.