Sorry, you need to enable JavaScript to visit this website.
Skip to main content

Articles

Category
Publish Date

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...

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...