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Select News: September 2016

Physician champion

Nurse Shanel Dunkin

Our complex care management program provides extra support for your patients, our members, with multiple health concerns, who often see several providers and take numerous medications. We’d like to spotlight and thank Kirby Smith, M.D., of Parkwood Pediatrics in Charleston, who has many patients who have been helped by First Choice care management.

“Care management has been very beneficial for my patients with chronic conditions,” says Smith. “It provides extra support to help ensure they’re better managing their health.” The program is available at no cost to members. Working together with our providers through this comprehensive program, Select Health can reduce preventable hospitalizations, avoidable readmissions, and unnecessary emergency room visits.

If you have First Choice members who would benefit from complex care management, call 1-888-559-1010, ext. 55251.

Availability of appointments

Select Health monitors availability of appointments within our network for services provided by all participating behavioral health providers.

Important Pharmacy and Therapeutics Committee updates

Effective November 1, 2016, the following will be removed from the Select Health Preferred Drug List (PDL). Please substitute one of the preferred alternatives for your First Choice patients currently receiving one of these medications. We are notifying members in writing to allow time to change to a preferred medication or submit a request for prior authorization.

Preferred drug list removals

PDL removals PDL alternatives
Prevacid® SoluTab 15 mg Prilosec® 2.5 mg oral suspension or 10 mg oral suspension if less than 8 years of age; Prilosec 20 mg capsule if ≥ to 8 years of age
Prevacid SoluTab 30 mg Prilosec 2.5 mg oral suspension or 10 mg oral suspension if less than 8 years of age; Prilosec 40 mg capsule if ≥ to 8 years of age
Protonix® 40 mg suspension Prilosec 2.5 mg oral suspension or 10 mg oral suspension if less than 8 years of age; Prilosec 40 mg capsule if ≥ to 8 years of age
Ulesfia® 5% lotion Permethrin 1% cream

Our website includes this and other up-to-date pharmacy information, as well as:

  • PDL updates.
  • New prior authorization criteria and procedures for submitting a prior authorization.
  • Pharmacy benefit restrictions or limitations.

For more information, contact Perform Rx Pharmacy Services at 1-866-610-2773.

Final winners

We held our final monthly drawing for a $50 Amazon.com e-certificate for online subscribers last month. Debra Vasquez of J&B Medical Supply was June’s winner, Carol Reeves of Greenville Family Partnership was July’s winner, and Vernon Grier of Bridgebuilders Family and Youth Services was August’s winner. Thank you to all who subscribed to the electronic Select News, and congratulations to all the winners!

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