Quarterly Formulary Updates Available Online

Highmark regularly updates our prescription drug formularies and related pharmaceutical management procedures. To keep our network physicians apprised of these changes, we provide quarterly formulary updates in the form of Special eBulletins that can be found on Highmark’s Provider Resource Center.

Providers who do not have internet access or do not use NaviNet® may request paper copies of the formulary updates by calling our Pharmacy area toll-free at 1-800-600-2227.

Pharmaceutical Management Procedures

To learn more about how to use pharmaceutical management procedures, including 1) providing information for exception requests; 2) the process for generic substitutions; and 3) explanations of limits/quotas, therapeutic interchange, and step-therapy protocols, please refer to the Pharmacy Program/Formularies page, accessible from the main menu on the Provider Resource Center (PRC).