Digital ID now available, diabetes workshop + upcoming physician drug changes
Digital ID now available to Alliance members
As of September 2024, the Alliance is offering our members a digital copy of their Alliance ID card. Members can call Alliance Member Services to receive a secure text to download a copy of their ID instantly to their smartphone. Heads of household can request a digital ID for their dependents as well.
To get a digital Alliance ID card, Alliance members can call Member Services at 800-700-3874 (TTY: Dial 711), Monday through Friday, 8 a.m. to 5:30 p.m.
The goal of the digital ID card is to enhance member access to their ID information to help prepare them for their appointments, and to encourage use of their Alliance benefits and services.
Note: new Alliance members will still get a printed copy of their Alliance member ID card in the mail with their enrollment packets. Members may also still request a printed replacement of their ID by calling Member Services, but it will take up to 10 business days to be mailed to them.
If your office needs a photocopy of the member’s ID for your records, you can take a photocopy or scan of the digital ID:
- Ask the member to pull up their member ID on their phone screen. We recommend asking the member to turn off phone notifications before making the photocopy.
- Place the phone face down in the copier/scanner glass as you would any document.
Note: the photocopy will come out as a black and white image of the phone screen, even if the photocopy is taken in color.
If you have any questions or concerns, please contact your Provider Relations Representative or call 831-430-5504.
Tell members about our diabetes program!
Members with type 2 diabetes or pre-diabetes can now join our Live Better with Diabetes (LBD) program workshop, a six-week workshop available at no cost to them!
Helping members manage their diabetes through HbA1c values is also a CBI measure. Read more on our website.
The workshop will help members learn:
- How to eat healthy.
- How to stay active.
- Appropriate medication use.
- Glucose monitoring.
- Proper foot care.
See our website for more information on the program.
Thank you for providing quality care to our members!
Physician administered drugs changes effective Dec. 1, 2024
The Alliance has implemented physician administered drug benefit changes. These changes have been reviewed and approved by the Pharmacy & Therapeutics (P&T) Committee. Find prior authorization criteria on our webpage.
The changes are as follows:
| HCPCS Code | Drug | Change |
| J0887
J0888 |
Mircera (methoxy polyethylene glycol epoetin beta) | No prior authorization required. |
| J2506 | Neulasta (pegfilgrastim) | No prior authorization required. |
| Q5111
Q5108 Q5122 Q5120 Q5127 Q5130 |
Udenyca (pegfilgrastim-cbqv)
Fulphila (pegfilgrastim-jmdb) Nyvepria (pegfilgrastim-apgf) Ziextenzo (pegfilgrastim-bmez) Stimufend (pegfilgrastim-fpgk) Fylnetra (pegfilgrastim-pbbk) |
Modified prior authorization criteria. |
| Q5101
Q5110 J1447 Q5125 |
Zarxio (filgrastim-sndz)
Nivestym (filgrastim-aafi) Granix (tbo-filgrastim) Releuko (filgrastim-ayow) |
No prior authorization required. |
| J1442
|
Neupogen (filgrastim) | Modified prior authorization criteria. |
| C9170 | Imdelltra (tarlatamab-dlle) | Requires prior authorization. |
The Alliance has updated the following pharmacy policies. To request a copy, please contact the Alliance Pharmacy Department at 831-430-5507.
- 403-1112: Therapeutic Equivalence of Generic Drugs.
- 403-1120: Synagis (Palivizumab).
- 403-1124: Drug Recall Procedure.
- 403-1128: Other Non-Formulary Drugs.
- 403-1137: Drugs Previously Approved by the Alliance.
- 403-1139: Opioid Utilization Review.
- 403-1155: Beyfortus (Nirsevimab).
