2022 Priority Partners Formulary Changes
The table below outlines all the changes to our formulary since the formulary list was last printed on 01/01/2022.
| Drug Name | Description of Change* | Copay Amount | Effective Date of Change |
|---|---|---|---|
| Kerendia (finerenone) | Addition to formulary with PA | $3 | 01/01/2022 |
| Benlysta (belimumab) subcutaneous | Addition to formulary with PA | $3 | 01/01/2022 |
| Lupkynis (voclosporin) | Addition to formulary with PA | $3 | 01/01/2022 |
| Eucrisa (crisaborole) ointment | Addition to formulary with PA | $3 | 01/01/2022 |
| Free Style Libre 14-Day Receiver and Sensor | Addition to formulary with QL | $0 | 01/01/2022 |
*QL = Quantity Limit, PA = Prior Authorization, ST = Step Therapy, NF = Non Formulary, N/A = Not Applicable