Q2 Drug formulary change notification

• 06/01/2024

Key points

• Hennepin Health is making several changes to its drug formulary for Q2 2024. 
• The changes apply to all Hennepin Health members.
• The updated full drug formulary is available online on Hennepin Health's Forms/documents page.
  • A printed copy can be obtained by calling Provider Services at 612-596-1036 (select option #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 (select option #2). 

Effective June 1, 2024, these utilization management (UM) requirements of prior authorizations (PA) were removed and quantity limits (QL) were added:

• Clobetasol propionate gel, QL = 60gm/30days
• Clobetasol shampoo, QL = 118ml/30days
• Fluocinonide emollient cream, QL = 60gm/30days
• Fluocinonide gel, QL = 60gm/30days
• Tacrolimus oint, QL = 60gm/30days
• Desonide cream, QL = 60 gm/30days
• Desonide lotion, QL = 59ml/30days
• Desonide oint, QL = 15gm/30days
• Hydrocortisone valerate cream, QL = 15gm/30days

Resources

• Hennepin Health Customer Services: 612-596-1036 (select option #2) 
• Hennepin Health Forms/documents page