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Prior authorization
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131	MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES 1. Requirements for Prior Authorization of Soliris (eculizumab) A. Add to Reading List Source URL: www.dhs.state.pa.us Language: English - Date: 2014-12-29 17:37:38 Eculizumab Immunosuppressants Complement deficiency Alexion Pharmaceuticals Paroxysmal nocturnal hemoglobinuria Hemoglobinuria Hemolytic-uremic syndrome Medical prescription Haemophilus influenzae Health Medicine Acquired hemolytic anemia
132	Page 1 of 2 PRESCRIPTION DRUG PRIOR AUTHORIZATION REQUEST FORM Plan/Medical Group Name: ________________________________ Plan/Medical Group Phone#: (_______) Add to Reading List Source URL: www.dmhc.ca.gov Language: English - Date: 2014-11-20 23:47:32 Patient safety Clinical pharmacology Medical prescription Medical terms Health Insurance Portability and Accountability Act Prescription medication Methadone Electronic prescribing Ohio Automated Rx Reporting System Medicine Health Pharmacology
133	Diabetic Supplies Preferred Product List Effective February 18, 2014 NOTE: The following diabetic supplies are available without Prior Authorization (PA). Meters Manufacturer Add to Reading List Source URL: kyportal.magellanmedicaid.com Language: English - Date: 2014-05-20 11:18:21 Test strip Johnson & Johnson LifeScan Verio
134	Medicare Prior Authorization of Power Mobility Devices Demonstration Status Update (Posted[removed]The Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration began on September 1, 2012 in Californ Add to Reading List Source URL: www.cms.gov Language: English - Date: 2014-09-18 18:12:42 Medicare Medicaid Government Health Public policy Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
135	Medicare Prior Authorization of Power Mobility Devices Demonstration Status Update (Posted[removed]The Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration began on September 1, 2012 in Califor Add to Reading List Source URL: www.cms.gov Language: English - Date: 2014-12-30 14:13:11 Medicare Government Medicaid Health Public policy Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
136	November 20, 2014 MAC Binder Section 13 – Miscellaneous Part B Table of Contents  Request from the MAC Concerning a Common Prior Authorization Process Memo dated November 11, 2014  Certificate of Need Memo dated Add to Reading List Source URL: chfs.ky.gov - Date: 2015-01-17 10:58:20
137	eBUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2014-12-11 08:18:17 Anti-acne preparations Alcohols Phenols Combination drugs Clindamycin Tramadol Sulfacetamide/sulfur Benzoyl peroxide Codeine Chemistry Organic chemistry Morphinans
138	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2014-12-19 11:58:30 Anti-acne preparations Alcohols Phenols Combination drugs Clindamycin Tramadol Benzoyl peroxide Sulfacetamide/sulfur Codeine Chemistry Organic chemistry Morphinans
139	November 20, 2014 MAC Binder Section 13 – Miscellaneous Part B Table of Contents  Request from the MAC Concerning a Common Prior Authorization Process Memo dated November 11, 2014  Certificate of Need Memo dated Add to Reading List Source URL: www.chfs.ky.gov - Date: 2015-01-17 10:58:21
140	Findings from the February 2014 NCVHS Hearing on Prior Authorization for the Pharmacy Benefit; Health Plan Identifier (HPID); Electronic Fund Transfer (EFT)/Electronic Remittance Advice (ERA); and, Remaining Operating Ru Add to Reading List Source URL: www.ncvhs.hhs.gov Language: English - Date: 2014-05-22 17:37:19 Healthcare Pharmacy Standards organizations Health Insurance Portability and Accountability Act Privacy law National Council for Prescription Drug Programs Electronic health record Credit card Electronic remittance advice Health Medicine Health informatics

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