Formulary

The Formulary is a list of the drugs that we cover. It may change during the year. We may add or remove drugs from our formularies throughout the year. Look below for our current Formulary and the changes to the QUEST Integration formulary.

Important Notice:

Effective 5/1/2021, TRUE METRIX will be the preferred brand for diabetes testing products for AlohaCare.

Prescribers:

Please fax or call in a new prescription to your patient’s pharmacy for a TRUE METRIX meter, test strips, and lancets. TRUE METRIX meter is available free to your patient.

• Please call 1-866-788-9618 to have a meter delivered to their home.

• Or you can give the pharmacy the following billing information for them to process a TRUE METRIX glucometer: BIN: 015251 | PCN: PRX2000 | Group: TRUEPORT22 | ID: HB224289455.

Pharmacists:

1. TRUE METRIX glucometer is covered at no cost to your patient.

2. Transmit the claim to Magellan using the following processing information: BIN: 015251 |

PCN: PRX2000 | Group: TRUEPORT22 | ID: HB224289455

3. Please use a prescription on file or call the patient's physician to obtain a new prescription.

For pharmacy processing questions, please call the Magellan Pharmacy Help Desk at 1-800-510-4836. Once a free meter is processed for reimbursement, you cannot submit for a claim to any other third-party payer. Limit one meter per patient every 12 months.


Important Notice:

AlohaCare now covers a 100-day supply for maintenance medications for Medicare.

Please send a new prescription written for a 100-day supply of maintenance medications to your patient's pharmacy

to help improve your member's medication adherence and decrease trips to the pharmacy for refills.

 
 
Changes to the QUEST Integration formulary
 
 

 

QUEST Integration Formulary Management Procedures