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    v1.0.28
    OpenPayerPolicy UpdatesPharmacy & Specialty DrugsHealthPartners HSA Preventive Drug List Coverage |…
    Ask Trek AI about this page
    CurrentHealthPartnersPolicy N/A

    Enhanced HSA Preventive Drug List — Coverage Criteria

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    Defines medications included on HealthPartners' Enhanced HSA Preventive Drug List for members in HSA-eligible high deductible health plans; describes how the list is presented and notes that coverage rules and plan documents govern actual benefits.

    Policy Summary
    PayerHealthPartners
    PolicyEnhanced HSA Preventive Drug List — Coverage Criteria
    Policy CodePolicy N/A
    Change TypeNo material changes
    Effective DateN/A
    Last ReviewApr 1, 2026
    Next Review DateN/A
    Key ActionCheck plan documents or contact Member Services for specific coverage details and any prior authorization or step therapy requirements before filling prescriptions.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    HSA-eligible HDHPsapplicability

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

    Preventive drug listdocument type
    100+distinct product entries
    Multiplelisted products (partial)

    Coverage Criteria

    If there is a difference between the general information on this list and a member's plan documents, the member's plan documents determine coverage. The Enhanced HSA Preventive Drug List is a subset of the HealthPartners formulary and may be superseded by specific benefit language in the member's contract or Summary Plan Description; always confirm coverage against the member's plan documents or by contacting Member Services.

    Product Coding and Listings

    Product-style size/gauge entries (partial list)mixed
    0.3 ML 30GX5/16Insulin syringe / product mapping entry as listed
    0.5 ML 29GX1/2Insulin syringe / product mapping entry as listed
    1 ML 29GX1/2Insulin syringe / product mapping entry as listed
    Pen needle product entriesmixed
    PEN NEEDLE 30G 5MMPen needle product entry
    PEN NEEDLE 31G 5MMPen needle product entry
    PENTIPS PEN NEEDLE 29G 1/2"PENTIPS product entry
    Lancets and syringe product entriesmixed
    PERFECT POINT 28G SAFETY LANCTLancet product
    PURE COMFORT 30G TWIST LANCETLancet product
    TECHLITE 0.3 ML 29GX12MMInsulin syringe product
    Additional pen needle and lancet entriesmixed
    ULTRA-FINE PEN NEEDLE 31G 5MMPen needle product entry
    UNIFINE PENTIPS 31G 5MMPen needle product entry
    UNILET SUPER THIN 30G LANCTLancet product entry

    Provider Actions and Authorization Rules

    Prior Authorization

    Prior authorization notice

    Coverage rules may apply and may not be shown here. Some medications have rules, such as prior authorization, that must be met before the medication is covered. See the Pharmacy Drug List (Formulary) for complete coverage rules and the 'More Details' column for information.

    Prior Authorization

    Prior authorization not specified

    No prior authorization requirements are specified in the product mapping entries shown here.

    Step Therapy

    Step therapy may apply

    Coverage rules, including step therapy, may apply for some medications; check the Pharmacy Drug List (Formulary) for complete coverage rules.

    Background

    Preventive drugs are intended to help avoid disease and maintain health. The Enhanced HSA Preventive Drug List identifies medications and related supplies that may be available to members with qualifying HSA-compatible high deductible health plans for purchase before meeting the deductible, typically with copay treatment defined by the member's plan.

    Other important information: coverage rules may apply and are not fully shown on this list. Some medications and products may require administrative steps such as prior authorization or be subject to formulary restrictions; consult the Pharmacy Drug List (Formulary) or the 'More Details' column for specific rules and limits. The product entries on this list include injection supplies (lancets, pen needles, syringes) and other items mapped to product names and sizes as listed.

    Definitions

    Preventive drugs / Enhanced HSA Preventive Drug List
    DefinitionPreventive drugs: medications used to help avoid disease and maintain health; included on the Enhanced HSA Preventive Drug List for members with qualifying HSA-compatible high deductible health plans.
    Relationship to formulary/plan benefitsThe Enhanced HSA Preventive Drug List is a subset of the HealthPartners drug formulary; if there is a difference between this list and a member's plan documents, the plan documents determine coverage.
    Presentation conventionsBrand medicines appear in ALL CAPS; generic medicines are shown in lower italics on the list.
    Scope (examples)List includes preventive medications and related supplies such as lancets, pen needles, and insulin syringes (product-level entries shown on the list).
    Coverage rules noteCoverage rules (for example, prior authorization or other requirements) may apply and are not fully displayed on this list; members should check plan documents or contact Member Services for specifics.
    Policy Summary
    PayerHealthPartners
    PolicyEnhanced HSA Preventive Drug List — Coverage Criteria
    Policy CodePolicy N/A
    Change TypeNo material changes
    Effective DateN/A
    Last ReviewApr 1, 2026
    Next Review DateN/A
    Key ActionCheck plan documents or contact Member Services for specific coverage details and any prior authorization or step therapy requirements before filling prescriptions.
    SourceLink
    On This Page
    Coverage CriteriaProduct Coding and ListingsProvider Actions and Authorization RulesBackgroundDefinitions
    Step Therapy

    Step therapy not specified

    No step therapy rules are listed in these product mapping chunks.

    Note

    Plan documents determine coverage

    If there is a difference between the general information on this list and a member's plan documents, the plan documents determine coverage; members may also contact Member Services for specific coverage details.

    Documentation Required

    Documentation/submission requirements not specified

    No documentation or submission requirements are specified in these chunks; the entries are product names and mappings only.

    Denial Risk

    Prior authorization required (when specified)

    Coverage rules such as prior authorization may apply and must be met before the medication is covered when specified; check the Pharmacy Drug List (Formulary) for any required authorizations.

    Denial Risk

    Authorization/denial triggers not present

    No explicit authorization or denial triggers are present in these product-mapping/list chunks.