Published April 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 Libraryorreview all MVP Health Care Medical Policies.

A list of 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

Ojemda tablet
Ojemda suspension
Libervant

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

Duvyzat
Iqirvo
Myhibbin
Tyenne
Tofidence

New generics that recently came to market

BRAND NAME GENERIC NAME
Sandostatin LAR Kit Octreotide IM injection
Solu-Cortef Hydrocortisone succinate PF

Policy Updates

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