Prior authorization

Results: 1240



#Item
931Morphinans / Antitussives / Euphoriants / Antidiarrhoeals / Opiates / Dextromethorphan / Over-the-counter drug / Hydrocodone / Food and Drug Administration / Medicine / Pharmacology / Chemistry

MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES 1. Requirements for Prior Authorization of Cough and Cold Medications A. Prescriptions That Require Prior Authorization Prescriptions for Cough a

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Source URL: www.dpw.state.pa.us

Language: English - Date: 2013-12-11 09:48:59
932Health / Clinical pharmacology / Medical prescription / Patient safety / Medical necessity / Pharmaceuticals policy / Drug safety / Pharmacology / Medicine / Pharmaceutical sciences

MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES 1. Requirements for Prior Authorization of Antibiotics, Inhaled A. Prescriptions That Require Prior Authorization Prescriptions for non-preferred

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Source URL: www.dpw.state.pa.us

Language: English - Date: 2013-11-08 18:40:01
933Organic chemistry / Alcohols / Drug rehabilitation / Lactams / Clinical pharmacology / Medical prescription / Buprenorphine / Benzodiazepine / Temazepam / Pharmacology / Chemistry / Pharmaceutical sciences

MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES I. Requirements for Prior Authorization of Benzodiazepines A. Prescriptions That Require Prior Authorization Prescriptions for Benzodiazepines th

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Source URL: www.dpw.state.pa.us

Language: English - Date: 2013-11-08 19:22:55
934Drug rehabilitation / Clinical pharmacology / Medical prescription / Patient safety / Medical necessity / Methadone / Febuxostat / Chemistry / Organic chemistry / Pharmacology

MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES 1. Requirements for Prior Authorization of Antihyperuricemics A. Prescriptions That Require Prior Authorization Prescriptions for non-preferred A

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Source URL: www.dpw.state.pa.us

Language: English - Date: 2013-11-08 19:08:33
935Therapy / Health sciences / Special education / Medical terms / Massachusetts health care reform / Physical therapy / Occupational therapy / Speech and language pathology / Medicaid / Medicine / Health / Rehabilitation medicine

Commonwealth of Massachusetts Executive Office of Health and Human Services Request and Justification for Therapy Services When requesting prior authorization for physical, occupational, or speech/language therapy, compl

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Source URL: www.mass.gov

Language: English - Date: 2013-08-30 22:59:26
936Antivirals / Phenols / Ethers / Alcohols / Cytokines / Osteoporosis / Fentanyl / Orphenadrine / Leuprorelin / Chemistry / Medicine / Pharmacology

2014 Exchange and PDL Prior Authorization Criteria Last Modified: [removed] Contents ACTHAR HP ..........................................................................................................................

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Source URL: pacificsource.com

Language: English
937Pharmacy / Technology / Fax / Office equipment

Qual Med Prior Authorization / Medication Exception Fax Form

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Source URL: pacificsource.com

Language: English
938Biology / Protease inhibitors / Hepatitis / Cytokines / Peginterferon alfa-2a / Boceprevir / Telaprevir / Interferon / Hepatitis C and HIV co-infection / Antivirals / Medicine / Pharmacology

PRIOR AUTHORIZATION POLICY PEGYLATED INTERFERONS Pegasys (peginterferon alfa-2a injection – Hoffman-La Roche/Genentech) PegIntron (peginterferon alfa-2b powder for injection – Schering) To Initiate a Coverage Review,

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Source URL: statehealthplan.state.nc.us

Language: English - Date: 2013-10-03 14:59:20
939Pharmacology / Organochlorides / Non-steroidal anti-inflammatory drugs / Euphoriants / Ketamine / Neuropathic pain / Vulvodynia / Gabapentin / Diclofenac / Medicine / Chemistry / Pain

PRIOR AUTHORIZATION POLICY COMPOUND PRESCRIPTION DRUG PRODUCTS To Initiate a Coverage Review, Call[removed]OVERVIEW Compound prescription drug products are used for a variety of indications from treating pain to h

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Source URL: statehealthplan.state.nc.us

Language: English - Date: 2013-10-03 14:58:50
940Morphinans / Drug rehabilitation / Ketones / Phenols / Buprenorphine / Naloxone / Drug Addiction Treatment Act / Opioid dependence / Methadone / Chemistry / Organic chemistry / Alcohols

Prior Authorization Request Form Kentucky Medicaid – Fee For Service Buprenorphine Product PA’s can only be requested by authorized physicians using this form. Buprenorphine Products

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Source URL: www.chfs.ky.gov

Language: English - Date: 2014-09-12 02:42:43
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