Quality Health Matters
News and Updates for Employer Groups
November 16, 2017
Members Need to Know: OptumRx Website Change

The OptumRx member website will soon be updated to make it more responsive. When the update is complete, all health plan members receiving pharmacy benefits will need to register, or re-register, to access OptumRx. They should sign in to My Account at QualChoice.com and click on Your Drug Formulary to complete this one-time registration.
More Details on New Opioid Limits

As promised last month, we have more details to share on the new Short-Acting Opioid (SAO) limits effective December 1, 2017. These limits are based on the Centers for Disease Control (CDC) Guideline for Prescribing Opioids for Chronic Pain-2016.  There will be separate limits on SAOs for:
  1. Members Who Are New to Therapy
    Members who have NO opioid in their last 120 days of Rx claims history will be limited to a maximum of 49 morphine-equivalent mg per day of an opioid medication per fill, maximum 7-day supply, and 2 fills within a 60-day timeframe.
     
  2. Members Who Are NOT New to Therapy
    Members who DO have opioid fills in their last 120 days of Rx claims history will be limited to a maximum of 90 morphine-equivalent mg per day of an opioid medication per fill, and subject to 2 fills within a 60-day timeframe.
If clinically necessary, providers may pursue pre-authorization for doses above the CDC recommended limits. Note: Under this policy change, SAO prescriptions given to member who were prescribed oncology drugs in the previous 360 days will NOT have a limit.

Members who have questions should ask their providers about the new dosage limits.
QuicRewards Spotlight

Good News! We've expanded our QuicRewards member discount program! This month, we introduce Eggshells Kitchen Company, a neighborhood kitchen boutique where healthy eating is a lifestyle. Members can show their QualChoice ID card and enjoy 10% off purchases! Eggshells offers:
  • Cutlery, cookware, gadgets, aprons, gourmet foods and more
  • Cooking classes featuring local chefs
Visit QualChoice.com to see all QuicRewards offers from leading Arkansas health-related companies.
Updated Forms
To make sure you are using current QualChoice forms, please download from the Employer Forms page at QualChoice.com each time you need to use one.
In the Media
November is National Diabetes Month, and Yvette Coleman with QualChoice joins Arkansas Matters to share the importance of family support for diabetics.   Read More
In the Community
2017 Dove Tree Wrapping Party
Save the date! Join us on December 16, 2017! 



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