Northrop Grumman - General Information

Northrop Grumman is an aerospace and defense technology company.

Zendesk Org Tag: Northrop Grumman

Landing Page: https://www.vida.com/northropgrumman

Programs and Devices Breakdown

• For full details on programs offered, please refer to this Vidapedia Card
• For full details on devices offered, please review Device Eligibility Google Doc

If a member qualifies for MWL but they’re currently in WL or WH, etc; we’ll need to manually confirm if they’re eligible.

• Use this BMI Calculator to determine their BMI
  • If BMI is categorized as “overweight” (within range listed below), confirm if they have at least 1 weight related condition.
• If a member is confirmed eligible for MWL, submit a program switch request.

AOM Prescribing

See this VP Card for additional prescribing details.

Use Case 3 - Narrow Network

Vida is the only (Anti Obesity Medication) AOM prescriber covered in the plan. 

• Members have access to obesity treatment via Vida's Medical Weight Loss program, which includes an extensive medical intake with labs. They receive MNT and health coaching. They will be evaluated as candidates for AOM at the start of the program and throughout, based on their weight loss progress.

AOM Coverage Eligibility Criteria

• Northrop Grumman requires a BMI>=35 or BMI>=33 with co-morbidities for coverage of a GLP-1 medication. Members with BMIs of 25-35 for Asian Americans and 30-35 for Non-Asian Americans can still enroll in MWL, but if our providers feel they are a good fit for GLP-1s, they will need to be referred outside of Vida to receive the prescription. The medications prescribed outside of Vida will not be covered by insurance.
  
  • Co-mordities are defined as weight-related comordities including HTN, HLD, DM (Diabetes mellitus), preDM, CAD (Coronary artery disease), CHD (Coronary heart disease), MSK, sleep apnea, and PCOS (Polycystic ovary syndrome).

Important Note: Vida only prescribes GLPs for members with obesity not for members with diabetes.

Members might question or contest this criteria and assert their eligibility for AOMs. General response is Vida prescribing has stricter guidelines vs getting prescription from PCP for AOMs.

Existing or new members?

• Both

Vida prescribes AOMs?

• Yes, AOMs.
• Our prescribers are goldcarded for this use case, so there should never be PA required for scripts

See the Use Case 3 section here: https://support.vida.com/hc/en-us/articles/23889726866195-Anti-Obesity-Medication-AOM-Prescribing-and-Prior-Auth-Use-Cases 

See the CDC BMI calculator here: https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/english_bmi_calculator/bmi_calculator.html 

Population Details

150,000 Members

• 90K employees
• 60K spouses/dependents

Members are across the US, mostly in CA, DC Area, and UT

Additional Info

• What segment is this org in?
  • Employer

• Are they a Fees at risk (FAR) org?
  • Yes

• When did we launch with this org?
  • 1/1/2023
    • There is a Livongo population of ~2000 members. We will launch with this population on 11/1. The WH 1:1 program will only be the only available program for NG members until 1/1. The remaining population will launch on 1/1, along with the remaining programs.
      
      
• How is the service being paid for?
  • Vida will be provided for free to employees
    
    
• How do members enroll?
  • Vida App or VSC
    
    
• Where should non-eligible members be directed?
  • You can refer them to the Northrop Grumman Benefits Center aka NGBC.
    • 1-800-894-4194
      • Monday through Friday (except for most New York Stock Exchange holidays) from 8:30 a.m. to Midnight Eastern time
        
        
• Who is eligible?
  • All U.S. based employees, spouses/domestic partners and dependents 18 and over enrolled in the Anthem medical plan are eligible for Vida Health at no charge.
    
    

• Is the org on the eligibility file?
  • Yes
    
• How often will terminations take place?
  • TBD
• Northrop Grumman submits their eligibility files/changes in plans weekly on Wednesdays
• Prescribing UPDATE:
  
  • Any clients who opt for the Mandatory Maintenance Choice program with CVS will include the following UPDATE: future prescriptions for Topiramate after June 1st, 2025 will need to be for a 90 day supply and will need to be through the CVS Caremark prescription mail service to be covered. Questions about the mail service can be directed to CVS
• Do we offer Phone and/or Email support?
  • We will offer both phone/email support.
    
• Is VSC outreach involved?
  • The VSC will execute an outbound campaign to the Livongo population on 11/7 to transition them to Vida and into the Whole Health 1:1 program.
  • VSC to be fully deployed to the remaining population on 1/1
• CVS Benefits Change FAQs