For those who have an interest in how the creation of the common formulary for Medicaid is going, this page gives the current draft and other docs from the work group. The final version is supposed to be available on 1-1-16. Do yourself a favor and don't print out the draft formulary, but read it electronically or online. The font is small enough to qualify as a symptom of micrographia...
In order to streamline drug coverage policies for Medicaid and Healthy Michigan Plan beneficiaries and providers, the Michigan Department of Health and Human Services has decided to pursue a formulary that is common across all contracted health plans for the next Comprehensive Health Plan contract. A Common Formulary will better align coverage across health plans. The intent is to reduce interruptions in a beneficiary’s drug therapy due to a change in health plan.
The Common Formulary also includes certain drug utilization management tools, such as prior authorization criteria and step therapies. Health plans may be less restrictive, but not more restrictive, than the coverage parameters of the Common Formulary.
The list of drugs that are currently covered under the Fee-for-Service benefit will remain unchanged.
To promote safe medication transitions and minimize the burden on prescribers and patients, all contracted health plans will be required to follow one set of policies and procedures on transition of care and grandfathering of drug therapy.