Simplify with VSP Ophthalmic Product Formulary Update

Effective June 27, 2023, VSP® is making changes to its ophthalmic product formulary to simplify, provide more choice, and reflect brand and technology differentiation.

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The changes include:

  • New Lens Enhancement Codes
    • A new Blue Light Filtering Lens Enhancement Code to be used for lenses with blue light filtering technology embedded directly into the lens.  
      • Lens enhancement code is not for use with Blue Light Filtering Anti-reflective Coatings
    • New High Index 1.70 Lens and Above Enhancement Codes to accommodate lenses that have been released over the past few years. The lens enhancement chart will be updated to include:
      • Near Variable Focus High Index 1.70 & Above
      • Polarized High Index 1.70 & Above
      • Multifocal Aspheric/Spherical High Index 1.70 & Above
        • Add Multifocal fee to existing High Index lens enhancement code (AJ)
  • Polycarbonate Lenses: Adult members will have the same copay that applies to either single vision (SV) or multifocal (MF) polycarbonate lenses.
    • Polycarbonate for Kids is not impacted.
  • Anti-Reflective Coatings: VSP is moving from four anti-reflective (AR) coating categories to three categories. The mid-tier AR category B will be merged into category C, creating a single mid-tier category to reduce redundancies and align technology.

VSP regularly reviews its ophthalmic product formulary to ensure it evolves to remain relevant and competitive and reflects industry standards, while allowing VSP members to maximize their benefits at a network practice, like yours.

You can find information about the specific changes in the Product Index and the Lens Enhancement Charts located in the Provider Reference Manual on VSPOnline at eyefinity.com, beginning April 14, 2023. If you have questions, please contact your VSP representative.  

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