Some medications on our preferred drug list need prior authorization before they can be dispensed. First, you’ll request prior authorization for a member’s medication. Then, we’ll review your request and make our decision using the Department of Health Care Services’ prior authorization guidelines as well as our own custom guidelines.
Here are some of the guidelines that we use in our decision making:
If you have questions or would like a copy of these guidelines sent to you, call Provider Services at
1-866-329-4701 (TTY: 711).
If you have questions or would like a copy of these guidelines sent to you, call Provider Services at
1-866-329-4701 (TTY: 711).
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