March 31, 2022

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VOLUME 140, ISSUE 21 | THURSDAY, MARCH 31, 2022

‘THIS IS NOT OK.’ NEW UC PHARMACY BENEFIT MANAGER LEAVES SOME EMPLOYEES WITHOUT COVERAGE OF INSULIN, OTHER MEDICATIONS Professor Jonathan Eisen takes to Twitter to share how some medications are not covered by the new pharmacy benefit manager for UC PPO plans This is the first installation of The California Aggie’s two-part series on the struggles of students, faculty and staff in receiving coverage for medication and medical equipment by UC health insurance plans. Cross provided both pharmacy and healthcare benefits, but now Navitus provides pharmacy benefits for Anthem Blue Cross PPO healthcare plans. “It’s confusing; it’s slow; it’s cumbersome,” Eisen said. “Now your information is in multiple places, and it’s lame. There’s no other way to put it.”

Professor Jonathan Eisen was one UC employee impacted by the switch in pharmacy benefit managers (Jonathan Eisen / Courtesy). BY MARGO ROSENBAUM campus@theaggie.org In early March, UC Davis professor Jonathan Eisen received a letter in the mail that his UC preferred provider organization (PPO) insurance plan no longer covered his preferred types of insulin as of Jan. 1. The clinical transition letter was dated Feb. 14, yet he received it after March 1. Eisen, who was diagnosed with type 1 diabetes at age 15, said his insurance had always covered his insulin throughout his 17 years as a professor at UC Davis, eight years at the Institute for Genomic Research in Maryland, seven years in his Ph.D. program at Stanford University and four years of undergraduate studies at Harvard. Eisen, who is a professor with appointments in the UC Davis Department of Evolution and Ecology, the Genome Center and the Department of Medical Microbiology and Immunology, took to Twitter to share the news with his over 65,000 followers. “This is NOT OK,” read his tweet on March 7. “I was frustrated and kind of pissed off, and also felt like this triangulated a lot of things that I’d heard a lot of people talking about, which [were] problems with pharmacy benefits and insulin coverage,” he said in an interview with The Aggie. On Jan. 1, Navitus Health Solutions took over the administration of prescription drug benefits for UC employees and retirees on Anthem Blue Cross PPO insurance plans: UC Health Savings Plan, UC Care and CORE. The prescription benefits for these plans were formerly managed

by Anthem IngenioRx. Pharmacy benefit managers, such as Navitus, manage prescription drug benefits and costs for health insurers, large employers and other institutions. “Every prescription benefit manager (PBM) uses its own formulary, which is a list of drugs that are covered by the plan,” a UC advisory sent in January reads. “While the Anthem IngenioRx and Navitus formularies are similar, there are differences, which could affect your individual medication costs.” Approximately 15% of UC Davis employees are on Anthem Blue Cross plans and, therefore, were impacted by this change to Navitus, according to UC Davis Health Care Facilitator Guerren Solbach. For over 10 years, Eisen has been using Novolog and Lantus brands of insulin. According to the UC formulary and UC benefit plan website, the new pharmacy provider covers other brands of insulin, like Humalog, but not the two brands Eisen previously used and prefers. Although Eisen said he was given a grace period until March 31 to acquire Novolog and Lantus at the price he paid under the former plan, he would have preferred to have received notice of this before the beginning of the month. “This is NOT OK either,” Eisen’s follow-up tweet read. When Eisen initially learned about the changes to UC insurance benefits, he did not imagine the changes to be this significant, he said. Insurance provider shifts happen frequently, and while it is “annoying and painful,” they do not usually result in large differences in coverage. Yet, that was not the case this year as the pharmacy benefits are now decoupled from healthcare benefits. Previously, Anthem Blue

Eisen’s diagnosis In 1984, Eisen was experiencing the classic signs of diabetes — he regularly experienced fatigue, had to go to the bathroom frequently and felt sick for months. At the time, Eisen was a pitcher for his baseball team and in between each inning, he had to run down a hill to the bathroom. Eisen detailed his diagnosis in a TED Talk in 2012. “​​I was literally peeing out all the sugar that was accumulating in my body,” he said. After pitching a good game, he went on his first-ever backpacking trip in Old Rag Mountain in West Virginia with an Eagle Scout friend and his brother. He drank their supply of water that was meant to last for two days in about 15 minutes and submerged his face in puddles to drink extra water like a dog, he said. “I was dying; I was literally dying,” Eisen said. Eisen said he “somehow” survived the backpacking trip and started telling his father, an endocrinologist for the National Institutes of Health (NIH), about how he was feeling. After not being able to stand at a party for his father’s NIH lab, “something clicked” in his father’s head, Eisen said. They left the party and bought a urine sugar testing kit. Eisen’s blood sugar levels were off the charts — Eisen’s father instantly knew he had diabetes and brought him to the emergency room. “​​I was very, very, very sick,” Eisen said. Eisen’s weight had dropped from 170 to 120 pounds and he was experiencing “full-blown” diabetic ketoacidosis, which is a serious, lifethreatening complication of diabetes where the body does not have enough insulin for blood sugar to enter cells to be used as energy, according to the Centers for Disease Control’s definition. “My body was basically digesting itself,” he said. “They immediately diagnosed me as a diabetic — it took like five minutes […] My body was suddenly for the first time in five months starting to work.” Since Eisen has type 1 diabetes, his pancreas makes little to no insulin — a necessary hormone that regulates metabolism and blood-sugar levels. People receiving treatment for type 1 diabetes inject synthetic insulin or use an insulin pump to manage their blood-sugar levels and prevent damage to their heart, kidneys and other organs. HEALTHINSURANCE on 9

VISITING ASSISTANT PROFESSOR OF RUSSIAN PROMOTES ART OVER VIOLENCE CONCERNING WAR IN UKRAINE Professor Victoria Juharyan emphasizes peaceful protest and the power of creation over destruction through art BY KAYA DO-KHANH campus@theaggie.org UC Davis Visiting Assistant Professor of Russian Victoria Juharyan stresses the power of art over violence regarding the crisis in Ukraine in her courses. She taught the course RUS 143 this past winter quarter, which focused on Chekhov, the late 19th-century Russian playwright and short-story writer. Before Russia invaded Ukraine, the class was discussing Chekhov’s play “Uncle Vanya” and the character Dr. Astrov who was concerned with how future generations were going to view current generations. After the invasion, the class considered Chekhov’s characters in relation to contemporary topics. Juharyan also shifted the final project from a traditional academic paper to one that allowed students the creative freedom to write a short story, play or to create art that dealt with current issues and channeled Chekhovian spirit. Some of the students’ works were displayed in Juharyan’s interactive art exhibit titled “Faces and Voices of Interrupted Life and Unfinished Artworks” that was held at the Two Rivers Cider Company in Sacramento on March 13. “The freedom that she gave us made me be able to connect to the war in a very personalized way, which is a lot more powerful, because if it was just a cut and dry essay where I had to pick a certain prompt, there would be a sort of distancing from myself and that distance would be applied to the current events,” fifth-year English major David Cruz said. According to Juharyan, the final project had students producing manifestos, creating their own literary movements and writing poems that they did not know they had the ability to produce. “Instead of just writing papers to get a grade or show some kind of superficial understanding of the texts we’ve studied, there are ways that they can create pieces that will live on both in their own lives and in the lives of others,” Juharyan said. “The work that they are doing is not just

Artwork by students in Professor Victoria Juharyan’s class (Professor Victoria Juharyan / Courtesy). for me and the class, but for themselves and humanity.” In her class, Juharyan talked with her students about the destruction of art and historical archives in Ukraine as a result of the war and the need to preserve such pieces. She has been writing poems and painting since her childhood, and in her youth, she was concerned with the idea of knowing how to describe what has been lost. “I hope this conflict [...] is going to end up being a wake up call,” Juharyan said. “Maybe humanity somehow can realize that instead of destroying everything, we should be creating. We have those creative powers.” Third-year psychology major Isabella Balboni’s creative final project was inspired by an incident related to the war that was discussed in class. A Ukrainian woman approached armed Russian soldiers and offered them sunflower seeds, as sunflowers are the national flower of Ukraine. She said, “Take these seeds and put them in your pockets, so at least sunflowers will

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grow when you all lie down here.” Balboni created a drawing for her final project which portrays cupped hands holding sunflower seeds. The hands are dripping blood, chained at the wrists and the Russian flag peers out of the chains. “The blood that’s dripping along with the reddened, bloody sunflower seeds are the people of Ukraine,” Balboni said. “These hands are trying to take something that doesn’t belong to them. [...] The cupped hands of Russia represent not Putin but the Russian people [...] — people who do not want this, it was not their choice to do this.” Balboni expressed that she had not drawn in a long time and that nothing had inspired her to pick up a pencil and start creating as much as this project and the topics discussed in class. “I would have not been able to truly understand the depth [of the war] and been given the creative freedom without her gift of a moment,” Balboni said. “It was truly a great moment, because I have not had a professor do that before.”

UC DAVIS ENTERS FIRST QUARTER WITHOUT MASK MANDATE SINCE 2020 Changes to COVID-19 guidelines allow students the option to return to classes post-spring break without masks

KELLIE LU / AGGIE BY ANGELINA ANGELO AND MONICA MANMADKAR campus@theaggie.org This quarter, students have the option to not wear a mask in indoor settings on campus. The mask mandate was lifted on March 19, the first day of spring break, but in a newsletter sent out on March 8, Chancellor Gary May stated that people who choose to wear masks are encouraged to do so. Masks are still strongly recommended by UC Davis Public Health Officials for both the unvaccinated and vaccinated individuals. “The university supports those who wish to continue to mask indoors, including those who are immunocompromised or otherwise concerned,” the announcement regarding the change to indoor masking states. Provost Mary Croughan predicted that many students will continue to wear masks even though they are no longer required to protect themselves and others. “Just like our return to in-person instruction in fall of 2020, this change will likely take two weeks for students to become more comfortable, make adjustments and return to a sense of normalcy,” Croughan said. With over 99% of students and 96% of staff vaccinated, the positivity rate for COVID-19 has been consistently low since the omicron spike in early winter quarter. In the last 30 days, the positivity rate has been 0.15% with 83 positive results among 55,256 asymptomatic tests. “The virus is doing exactly what [the medical community] expects a virus to do,” Croughan said. “The virus will likely continue to mutate, and while the future is unknown, we have strong precautions in place. We have high vaccination rates, treatments for early-onset sickness and a great testing program. We also still strongly encourage wearing a mask, as it reduces your risk of infection by 95%, according to officials.” Croughan shared that some instructors are particularly happy with the lifted mask mandate, as they have experienced issues teaching through a mask, while others feel anxious about the new protocol. In addition to faculty concerns, some students express heightened anxiety with the upcoming change. “It’s interesting to see that we are heading in the right direction for a more maskless school year, but it is still important to be cautious about a potential uptick in cases as we are all returning to campus post-spring break,” said Jack Fagan, a first-year undergraduate student. “Wearing masks around campus, for the time being, is important for now.” Croughan said she sympathizes with students experiencing fear and anxieties and recommended students contact instructors individually. “I recommend students to visit the Student Disability Center to receive support,” Croughan said. “For short-term adjustments or issues, students should also reach out to individual faculty members or their advisors. Hybrid and adjustment options are solely up to faculty and the Academic Senate.” Continuing in spring quarter, faculty also have the option to submit a request for student assistance to lecture capture all in-person instruction. Many faculty are taking advantage of this program, while some lecturers prefer to record themselves, according to Croughan. Along with instructors and the administration, many students working on campus have also had to adjust during these unknown times. Alessandra Beelen, a third-year biochemistry and molecular biology student, shared her thoughts on the lifting of the mandate as it pertains to her position as a community advisor living in Segundo. “On a practical level, my job will be easier, as many residents have not been following the mask policies,” Beelen said. “There will be less documenting that will need to be done, and on a safety level, I don’t think that much will change as our residents hang out in other settings maskless already. It’s been odd telling them to wear a mask in the halls when I know they are elsewhere not wearing masks.” Despite changes in masking policy, the testing policy will remain the same as winter quarter. Students and staff who have not received their booster shot or are not vaccinated will continue to get tested every four days, while the vaccinated public are expected to test every two weeks. All students living in residence halls will also return to testing every two weeks. Any further updates can be found on the Campus Ready dashboard.


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