Frequently asked questions for Hennepin Health SNBC plan members who joined April 1, 2025.
Hennepin Health is making several changes to its drug formulary for Q4 2024. 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 12/01/2024, these medications were added as preferred drugs on the PDL: Diclegis Aimovig Baqsimi Glucagon Emergency Kit Restatis Restatis Multidose Xiidra Cefixime capsule Effective 12/01/2024, these medications require a prior authorization: (Notes: * means these medications were removed as preferred drugs on the PDL; ** means these medications are non-preferred on the PDL)
Atorvaliq** Bonjesta** Cequa** Cyclosporine (ophthalmic)** Dexlansprazole capsule** Dhivy** Diltiazem tablet ER (LA)** Doxylamine succinate/Vitamin B6** Entadfi** Ertaczo** Eysuvis** Glucagon Emergency Kit** Gvoke pen** Gvoke syringe** Gvoke vial** Isradipine** Jesduvroq** Katerzia** Konvomep** Levamlodipine maleate** Libervant** Miebo** Mircera** Nicardipine** Norliqva** Oxistat lotion** Penciclovir** Retacrit** Tamiflu capsule** Tamiflu suspension** Tasmar** Tyrvaya** Verapamil** Verapamil 360 mg capsule** Verkazia** Vevye** Zavzpret** Zegalogue autoinjector** Zegalogue syringe** Zepbound** Diastat* Bensal HP* Exelderm cream* Exelderm solution* Naftifine cream* Oxistat cream* Penlac* Sulconazole nitrate cream* Sulconazole nitrate solution* Mirapex* Sinemet CR* Verelan* Pravachol* Aciphex Sprinkle* Sarafem* Pip butoxide/Pyrethrins/Permethrin kit OTC* Sklice* Zovirax capsule* Zovirax suspension* Zovirax tablet* Suprax capsule* Glyset* Avandia* Zyflo CR* E.E.S. 400 tablet* Zontivity* Megace* Megace ES* Effective 12/01/2024, Quantity Limits (QL) were added to these medications: Diastat Rectal Gel, QL = 2 inj/fill Diclegis Tab, QL – 4 tabs/day Baqsimi Nasal Powder, QL = 2 inhalations/fill Glucagon Inj Kit (amphastar equiv), QL = 2 inj/fill Restasis Ophth Emulsion, QL = 60 vials/30 days Restasis Multi-Dose, QL = 5.5ml/30 days (5.5ml = 1 bottle) Xiidra Ophth Soln, QL = 60 vials/30 days Tamiflu cap 45 mg, 75 mg, QL = 10 caps/fill Tamiflu cap 30 mg, QL = 20 caps/fill Tamiflu Susp 6MG/ML, QL = 120ml/fill, 2 fills/year