Prior authorization - PDFSEARCH.IO - Document Search Engine

Prior authorization
Results: 1240

#	Item
941	PRIOR AUTHORIZATION REQUEST FORM Well Sense QTY Limitation Program-Policy NH[removed]Quantity Limitation Program Phone: [removed]Fax back to: [removed] Add to Reading List Source URL: www.wellsense.org Language: English - Date: 2014-01-06 10:23:24 Office equipment Fax Confidentiality Methadone Technology Ethics Chemistry
942	PROVIDER UPDATE May 16, 2014 Prior Authorization requirements are changing ______________________________________________________________________ Add to Reading List Source URL: www.wellsense.org Language: English - Date: 2014-06-09 11:34:57 Digital media Email Technology Electronics
943	PRIOR AUTHORIZATION POLICY Buprenorphine tablets and Buprenorphine/Naloxone tablets/films To Initiate a Coverage Review, Call[removed]DRUGS AFFECTED: Buprenorphine sublingual tablets (previously available as Subut Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2014-06-02 10:50:45 Alcohols Euphoriants Ethers Phenols Buprenorphine Opioid dependence Naloxone Methadone Drug Addiction Treatment Act Chemistry Organic chemistry Morphinans
944	DRUGS BILLED UNDER MISCELLANEOUS CODES J3490, J3590, J9999 OR C9399 COVERAGE INFORMATION Note: Drugs with their own HCPC code may not be billed using a miscellaneous code. PA = PRIOR AUTHORIZATION REQUIRED Add to Reading List Source URL: www.hca.wa.gov Language: English - Date: 2014-09-05 12:12:56 Antiarrhythmic agents Clinical pharmacology Food and Drug Administration Therapeutics United States Public Health Service Lidocaine Medicine Pharmacology Pharmaceutical sciences
945	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 Add to Reading List Source URL: chfs.ky.gov Language: English - Date: 2014-09-11 03:56:34 Morphinans Drug rehabilitation Ketones Phenols Buprenorphine Naloxone Drug Addiction Treatment Act Opioid dependence Methadone Chemistry Organic chemistry Alcohols
946	Inpatient Out-of-State Prior Authorization Frequently Asked Questions 1. Why is an Out-of-State Prior Authorization requirement for impatient hospitalizations being implemented? In order to improve health outcomes and ef Add to Reading List Source URL: dss.sd.gov Language: English - Date: 2013-12-30 10:10:36 Government Medicaid Health insurance Health Medicine Medicare Medical record Medical necessity Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
947	Injectable Antipsychotics Request for Prior Authorization Fax completed form to Cenpatico at[removed]Upon receipt of all necessary information, Cenpatico will contact you by fax or phone within one business day. No Add to Reading List Source URL: www.medicaid.ms.gov Language: English - Date: 2014-03-25 15:58:49 Atypical antipsychotics Organofluorides Piperidines Lactams Janssen Pharmaceutica Antipsychotic Risperidone Paliperidone Typical antipsychotic Psychiatry Chemistry Organic chemistry
948	http://www.da.state.ks.us/purch/PriorAuthForm.doc PRIOR AUTHORIZATION FORM (Date of last Revision: [removed]INSTRUCTIONS: Prepare this form, scan and attach to your SMART Purchase Requisition as a LINE ITEM comment. Add to Reading List Source URL: www.da.ks.gov Language: English - Date: 2013-05-31 08:02:17 Purchase requisition Smart Vendor Purchase order Business Procurement Commerce
949	Kentucky Medicaid Drug Prior Authorization Request Form Not to be used for Atypical Antipsychotic Agents, Buprenorphine Products, Zyvox,or Brand Name PA Requests Fax this signed, completed form to: ([removed] Add to Reading List Source URL: chfs.ky.gov Language: English - Date: 2014-09-09 05:09:44 Pharmacist Medicaid Fax Buprenorphine Organic chemistry Antipsychotic Chemistry Technology Drug rehabilitation
950	PRIOR AUTHORIZATION REQUEST FORM Well Sense New-to-Market Med-Policy NH[removed]ALOQUIN, AMYVID, AURAX SOL, B-NEXA, CAPRELSA, CAYSTON, CEPROTIN, CYCLOBENZAPR CRE, DUET DHA MIS BALANCED, DUET DHA EC MIS[removed], DUET DHA E Add to Reading List Source URL: www.wellsense.org Language: English - Date: 2013-12-02 12:39:49 Office equipment Formulary Pharmaceuticals policy Fax Science Technology Pharmacy Pharmacology

UPDATE