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July Drug List Change Notification

Updates on Existing Criteria July 2022. The following changes to criteria are effective July 22, 2022: Prior Authorization Criteria – Clinical Updates Carglumic acid – update required medical information and appropriate treatment regimen for each covered...

Sales Executive joins Portland team

Please join us in welcoming Michelle Lauerman, our new Sales Executive serving Portland and other Oregon clients. She joined the Portland office team April 18. Michelle has more than 20 years in the insurance industry, creating and selling commercial products. Most recently,...

June Drug List Change Notification

Updates on Existing Criteria June 2022. The following changes to criteria are effective June 22, 2022: Prior Authorization Criteria – Clinical Updates Abilify Maintena – added requirement of established tolerability to oral aripiprazole Actimmune – added dose...

Access to Standards Content

Access to Care Survey is now conducted by phone  As a provider, you understand how access to care is vital to healthy communities. As required by Centers for Medicare and Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA), PacificSource conducts periodic phone surveys...

April Drug List Change Notification

Updates on Existing Criteria April 2022. The following changes to criteria are effective April 22, 2022: Prior Authorization Criteria – Clinical Updates Botox – update appropriate treatment regimen to include coverage for anal fissures Dalfampridine – Update...