Drug formulary changes for 2023 Q4

• 10/02/2023

October 1, 2023

Subject

2023 Q4 drug formulary change notification.

Providers affected

All providers

Key points

• Hennepin Health is making several changes to its drug formulary for Q4 2023. 
• The changes apply to all Hennepin Health members.
• The updated full drug formulary is available online. A printed copy can be obtained by calling Provider Services at 612-596-1036 (press 2).

Background

We have made several changes to the drug formulary. These changes apply to Hennepin Health-PMAP, Hennepin Health-MNCare and Hennepin Health-SNBC members. Members who are directly impacted will receive notification of the changes. The updated full drug formulary is available on the website. A printed copy can be obtained by calling Provider Services at 612-596-1036 (press 2). 

Effective 10/01/2023, these medications were removed:
EZ FLU SHOT PF KIT 
EZ FLU SHOT QUAD KIT

Effective 10/01/2023, the 90DS indicator was removed on this medication:
Albuterol nebulizer soln

Resources

• Hennepin Health Customer Service: 612-596-1036 (press 2)
• Hennepin Health website 
• 2023 Medicaid list of covered drugs (Formulary) – effective 10/01/2023 (PDF)