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Prior Authorization List
Drugs Requiring Prior Authorization - October 2011
Drugs Requiring Prior Authorization - July 2010
Drugs Requiring Prior Authorization - June 2011
Speciality Drugs Requiring Prior Authorizations - Commercial
All unclassified drug codes (such as J3490, J3590, J8999 and J9999) require prior authorization. When requesting authorization for an unclassified drug please submit the NDC#, Drug Name, and Dosage.
2010 Drug Prior Authorizations – Medicare
Drug Prior Authorizations - Medicare
Procedures Requiring Prior Authorization (Group)
Procedures Requiring Prior Authorization (Medicare)
DME Precertification Form
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