Observation Stays No Longer Subject to Concurrent Review

FirstCare Formulary Changes for 2016

Thursday, October 29, 2015

FirstCare Health Plans is committed to the health of our members and the communities we serve, and we’re continuously evaluating how to best provide quality services and fiscally responsible care to our members. As our respected health care providers, we thank you for your assistance in our efforts to address issues that may impact our members' health.
FirstCare is introducing our new 5-Tier formulary in 2016 to address drug adherence and the dynamics of the health industry. The formulary tiers are no longer divided into generic, preferred brand, and non-preferred brand. Now, when compared to previous years, the new formulary may include both generics and brand name drugs in each tier level.
Please refer to the FirstCare 2016 Formulary for covered medications:

If you have questions, please email our Provider Relations Team at provider_relations@firstcare.com.

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