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Specialty pharmacy medications Preferred Copay Card Acceptance Program BriovaRx, the OptumRx specialty pharmacy For commercial clients choosing to adopt the Preferred Copay Card Acceptance Program, the following is a current* list of medications for which BriovaRx ® , the OptumRx ® specialty pharmacy, will not redeem manufacturer copay cards (coupons) as payment. Copay cards (coupons) can drive market share to these higher-cost medications, even when much lower-cost, clinically similar option(s) are available as demonstrated in the grid below. Therapeutic use Non-accepted copay card/coupons Preferred lower-cost option(s) Ankylosing Spondylitis Enbrel Cimzia, Cosentyx, Humira, Simponi Hepatitis B Baraclude Entecavir, Tenofovir Disoproxil Fumarate, Viread Hepsera Adefovir Dipivoxil, Entecavir, Epivir HBV, Lamivudine, Tenofovir Disoproxil Fumarate, Viread Hepatitis C Zepatier Epclusa, Harvoni, Mavyret Hormone Suppressant Somavert Octreotide Acetate Infertility Ganirelix Cetrotide Juvenile Arthritis Enbrel, Orencia Humira Ophthalmic Eylea Lucentis Multiple Sclerosis Rebif Avonex, Betaseron, Copaxone, Glatopa, Glatiramer Acetate Neutropenia Neulasta Granix, Neupogen, Zarxio Psoriasis Enbrel Cosentyx, Humira, Otezla, Siliq Psoriatic Arthritis Enbrel, Orencia, Xeljanz, Xeljanz XR Cimzia, Cosentyx, Humira, Otezla, Simponi Pulmonary Hypertension Adcirca, Revatio Sildenafil Citrate Rheumatoid Arthritis Enbrel, Orencia, Xeljanz, Xeljanz XR Cimzia, Humira, Kevzara, Simponi Transplant Astagraf XL, Cellcept, Myfortic, Neoral, Prograf, Rapamune, Sandimmune (capsule) Cyclosporine, Cyclosporine Modified, Gengraf, Mycophenolate Mofetil, Mycophenolate Sodium, Sirolimus, Tacrolimus * This list is subject to change. This is confidential property of OptumRx. Do not distribute or reproduce without the express permission of OptumRx. You may be able to obtain reimbursement for the value of the coupon directly from the manufacturer who issued the coupon. All branded medications are trademarks or registered trademarks of their respective owners. Effective January 1, 2019

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Page 1: Preferred Copay Card Acceptance Program · Preferred Copay Card Acceptance Program BriovaRx, the OptumRx specialty pharmacy For commercial clients choosing to adopt the Preferred

Specialty pharmacy medicationsPreferred Copay Card Acceptance Program

BriovaRx, the OptumRx specialty pharmacyFor commercial clients choosing to adopt the Preferred Copay Card Acceptance Program, the following is a current* list of medications for which BriovaRx®, the OptumRx® specialty pharmacy, will not redeem manufacturer copay cards (coupons) as payment. Copay cards (coupons) can drive market share to these higher-cost medications, even when much lower-cost, clinically similar option(s) are available as demonstrated in the grid below.

Therapeutic useNon-accepted copay card/coupons

Preferred lower-cost option(s)

Ankylosing Spondylitis Enbrel Cimzia, Cosentyx, Humira, Simponi

Hepatitis B Baraclude Entecavir, Tenofovir Disoproxil Fumarate, Viread

Hepsera Adefovir Dipivoxil, Entecavir, Epivir HBV, Lamivudine, Tenofovir Disoproxil Fumarate, Viread

Hepatitis C Zepatier Epclusa, Harvoni, Mavyret

Hormone Suppressant Somavert Octreotide Acetate

Infertility Ganirelix Cetrotide

Juvenile Arthritis Enbrel, Orencia Humira

Ophthalmic Eylea Lucentis

Multiple Sclerosis Rebif Avonex, Betaseron, Copaxone, Glatopa, Glatiramer Acetate

Neutropenia Neulasta Granix, Neupogen, Zarxio

Psoriasis Enbrel Cosentyx, Humira, Otezla, Siliq

Psoriatic Arthritis Enbrel, Orencia, Xeljanz, Xeljanz XR Cimzia, Cosentyx, Humira, Otezla, Simponi

Pulmonary Hypertension Adcirca, Revatio Sildenafil Citrate

Rheumatoid Arthritis Enbrel, Orencia, Xeljanz, Xeljanz XR Cimzia, Humira, Kevzara, Simponi

Transplant Astagraf XL, Cellcept, Myfortic, Neoral, Prograf, Rapamune, Sandimmune (capsule)

Cyclosporine, Cyclosporine Modified, Gengraf, Mycophenolate Mofetil, Mycophenolate Sodium, Sirolimus, Tacrolimus

* This list is subject to change.

This is confidential property of OptumRx. Do not distribute or reproduce without the express permission of OptumRx. You may be able to obtain reimbursement for the value of the coupon directly from the manufacturer who issued the coupon. All branded medications are trademarks or registered trademarks of their respective owners.

Effective January 1, 2019

Page 2: Preferred Copay Card Acceptance Program · Preferred Copay Card Acceptance Program BriovaRx, the OptumRx specialty pharmacy For commercial clients choosing to adopt the Preferred

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an Optum® company — a leading provider of integrated health services. Learn more at optum.com.

All Optum trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners.

© 2018 Optum, Inc. All rights reserved. ORX9318_190101 75359A-102018

optumrx.com


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