Independent Health recognizes the complexity involved with the management of injectable medications
for our providers. With this in mind, Independent Health has developed a web-based tool to provide
access to information including drug specific policies, forms, prior authorization
requirements, specialty sourcing and reimbursement for those medications a physician utilizes
and administers in his/her office to an Independent Health member.
InjectableDrugFromulary.com will provide information on plan specific:
Click on 'Health Care Professional', reference or on-line tools, then Injectable Drug Formulary
Enter your user name and password.
User Name - First letter of your first name concatenated with your last name (20 chars max).
Password - Your Independent Health provider number is your initial password. You will be required
to change your password and enter a valid email address after your initial logon.
Perform a search by HCPCS code, drug name, or NDC
Search Options:
Information can be found by utilizing the following search options.
Type in complete or partial Information in the following fields:
Drug Code
Drug Name (Brand or Generic)
NDC Number
What you will find:
You will find Independent Health's coverage, policy, and reimbursement information.
Drugs that require Prior Authorization are linked to Independent Health's authorization Policy,
including criteria and duration of approval
A code includes all drug names and manufactures that fit that code
NOC Coded drugs have current Reimbursement Rates with effective dating
Benefits:
Our site provides regularly updated:
Reimbursement Rates
Covered & Non-covered drugs
Prior authorization forms and criteria
Specialty sourcing
A product of
R•J Health Systems International, LLC PO Box 290616
Wethersfield, CT 06109