2024 Isbeddellada Rasmiga ah - Caymiska Caafimaadka Degaanka ee Gobolka Washington - CHPW
Qorshaha Caafimaadka Bulshada ee Washington Apple Health Medicaid Plan Qorshaha Caafimaadka Bulshada ee Washington Apple Health Medicaid Plan

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2024 Isbeddellada Rasmiga ah

La daabacay Maarso 14, 2024 in Gudiga Xaashida by

Isbeddellada habraaca soo socda ayaa noqon doona dhaqan gal 04/01/24 dhammaan xubnaha CHPW Apple Health (Medicaid). Fadlan booqo https://www.hca.wa.gov/billers-providers-partners/programs-and-services/apple-health-preferred-drug-list-pdl Wixii faahfaahin dheeraad ah ama wac Adeegga Macmiilka CHPW at 1-800-440-1561 Isniinta ilaa Jimcaha laga bilaabo 8 subaxnimo ilaa 5 galabnimo.

Liiska dawooyinka u guuraya heerka la doortay 

Magaca Daawada Ogolaanshaha Hore Ma Loo Baahan Yahay?
Austedo XR (deutetrabenazine ER) Maya

 

Liiska dawooyinka u gudbaya heerka AAN LA JECLAAN 

Magaca Daawada Ogolaanshaha Hore Ma Loo Baahan Yahay?
Vraylar (cariprazine) Haa

 

Liiska dawooyinka u guuraya khidmadaha-Adeeg-For-For-Service (carve out); Taariikhaha waxtarka leh way kala duwanaayeen tan iyo markii hore 01/01/24

Magaca Daawada Daawooyinkan waxa maamuli doona Maamulka Daryeelka Caafimaadka Gobolka Washington (HCA) Adeeg-lacag-la'aan. Si loo bilaabo oggolaan hore, qorayaasha ama farmasiyadu waa inay ka wacaan HCA 800-562-3022.
Zilbrysq (zilucoplan sodium)
Wainua (eplontersen sodium)
Casgevy (exagamglogene autotemcel)
Lyfgenia (lovotibeglogene autotemcel)
Rivfloza (nedosiran sodium)
Fabhalta (iptacopan hcl)

 

HCA kale iyo Siyaasadda CHPW, Cusbooneysiinta Qaanuunka iyo Shuruudaha (hoos ka eeg taariikhaha waxtarka leh)

Siyaasadda Soo koobida Cusboonaysiinta
Talaalka Encephalitis-ka ee ka dhashay

Laga bilaabo 01/01/24

 Ticovac daboolay, wax xannibaad ah ma jiraan
Qodobka Beddelka ee morphine Milligram

Laga bilaabo 01/12/24
  • Isbeddelka Tramadol MME waxaa laga cusboonaysiiyay 0.1 ilaa 0.2.
  • Cunsurka beddelka Hydromorphone MME ayaa laga cusboonaysiiyay 4 ilaa 5.
Insulinada shaqaynaysa muddada dheer

Laga bilaabo 01/18/24

 Sababo la xiriira caqabadaha gelitaanka suuqa insulin glargine, HCA waxay ku dartay kuwa soo socda si loo doorbido iyada oo aan oggolaansho hore la helin:

  • Basaglar Kwikpen
  • Qalinkii Basaglar Tempo
Siyaasadaha cusub ee daawada HCA

Laga bilaabo 02/01/24
  • Emflaza (deflazacort): Corticosteroids HCA siyaasadda 22.10.00.AA
  • Vascepa (icosapent ethyl): Antihyperlipidemics HCA siyaasadda 39.50.00.AA
Anti-Narcolepsy waa la cusboonaysiiyay (61.40.00-2)

Laga bilaabo 02/01/24
  • Sunosi iyo Wakix ayaa ku daray siyaasadda
  • Narcolepsy waxay u kala baxdaa "Hurdo-maalmeedka oo xad dhaaf ah" iyo "Cataplexy"
  • Calaamadaha hurdo la'aanta waa la saaray
  • Dib u fasaxista xanuunka hurdada ee shaqada ayaa kordhay ilaa 6 bilood
vyvanse

Laga bilaabo 02/16/24

 Magaca summada Vyvanse waxaa laga yaabaa in la oggolaado 3 bilood markiiba iyada oo loo marayo oggolaansho hore haddii sababta codsiga ay tahay yaraanta lisdexamfetamine guud.
Brixadi

Laga bilaabo 03/01/24

 Brixadi waxa uu u dhaqaaqay heerka la door biday iyada oo aan oggolaansho hore loo baahnayn. Brixadi waa MA ku xaddidan farmashiyaha gaarka ah.
Proton Pump Inhibitor (PPI) (49.27.00-2)

Laga bilaabo 03/01/24

 Isticmaalka muddada dheer ee PPI ee ogaanshaha hunguriga Barret, shuruudaha "warbixinta pathology ee u dhiganta ee muujinaysa xaqiijinta taariikhiga ah ee metaplasia mindhicirka ee dheecaanka hunguriga" ayaa la sameeyay. laga saaray.
Daaweynta sclerosis badan

Laga bilaabo 04/01/24
  • Ocrevus (62.40.50.60): shuruudaha la cusboonaysiiyay si loogu oggolaado midkood "oligoclonal IgG bands ee dareeraha laf-dhabarka" AMA "Nabarada T2 ee maskaxda ama sawirka laf-dhabarka"
  • Mavenclad, Ponvory, Vumerity: waxay u baahan tahay daawayn tillaabo ah oo leh 2 wakiil oo la door biday (dimethyl fumarate, Kesimpta, Copaxone, Avonex, ama Betaseron), looma baahna shuruudo kale oo caafimaad.
Cytokine & CAM Ka soo horjeeda (66.27.00)

Laga bilaabo 04/01/24
  • Siyaasadda hadda waxaa ku jiri doona biosimilars Humira, Sotyktu, Bimzelx, Olumiant, Velsipity, & Omvoh si loo raaco tilmaamahooda.
  • Cusbooneysiinta tirada xaddidan:
    • Dayactirka Entyvio SQ qiyaasta CD/UC (216 mg 28 maalmoodba).
    • Rinvoq ee CD/UC: 45mg maalin kasta x 8 toddobaad, ka dibna 30mg maalin kasta.
GLP 1 Agonist (27.17.00-1)

Taariikhaha waxtarka leh ee lagu xusay dhinaca midig

 Laga bilaabo 12/20/23

  • Shuruudaha dib-u-oggolaanshaha ee "Bukaannada qaba Nooca 2 ee sonkorowga iyo cudurrada wadnaha iyo xididdada dhiigga oo asaasay ama dhowr arrimood oo halis ugu jira cudurrada wadnaha iyo xididdada dhiigga" oo la cusboonaysiiyay si loogu baahdo dukumeenti horumarinta HbA1c ee gundhigga u ah.

Laga bilaabo 04/01/24

  • Dulaglutide waa la cusboonaysiin doonaa si loo daboolo da'da 10 sano ama ka weyn
  • Xadka tirada la cusboonaysiiyay ee Byetta, Victoza iyo Adlyxin
Xanuunka Movement

Laga bilaabo 04/01/24
  • Austedo: Ogolaansho hore looma baahna
  • Austedo XR: U guuritaanka doorbidida, oggolaansho hore looma baahna
  • Ingrezza: waxay u baahan doontaa oggolaansho hore oo leh daawaynta tillaabo ay ku jirto tijaabada Austedo

INTA BADAN KA BARO

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☏ SU'AALO MA LEH?

Kooxda iibka

Hel jawaabo dhab ah
dadka dhabta ah

Phone: 1-800-440-1561
[emailka waa la ilaaliyay]

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