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December 2020 Drug List Change Notification

Updates on Existing Criteria: December 2020. The following changes to criteria are effective December 22, 2020: Preauthorization Criteria – Clinical Updates Cannabidiol – update to include new indication of Tuberous Sclerosis Complex (TSC) Ecallantide –...

November 2020 Drug List Change Notification

Updates on Existing Criteria: November 2020. The following changes to criteria are effective November 22, 2020: Preauthorization Criteria – Clinical Updates Burosumab – update to include new indication Ilaris – update criteria for indication of Still’s...

COVID-19 Provider Relief Plan FAQ

See our FAQ, COVID-19 Provider Relief Plan and Other Frequently Asked Questions (pdf), for answers to questions we’ve received from our provider community in response to the COVID-19 Provider Relief Plan. The Provider Relief Plan supports contracted providers in this time of crisis and reduces...

October 2020 Drug List Change Notification

Updates on Existing Criteria: October 2020. The following changes to criteria are effective October 22, 2020:
Preauthorization Criteria – Clinical Updates Dupilumab – update age restriction and dosing Histrelin – clarify baseline estradiol and...