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Examples of services that commonly require prior authorization before being approved include: Diagnostic imaging (such as MRIs, CTs, and PET scans) Durable medical equipment (such as wheelchairs) Rehabilitation (like physical or occupational therapy)
How long does prior authorization take for medication?
A prior authorization is the insurance plans way of making sure that your medication is needed and appropriate to treat your condition. The prior authorization process can range from a few days to a few weeks. Be sure to talk to your doctor and your pharmacist if you need your medication right away.
What is the specialty pharmacy for BCBS of Alabama?
Blue Cross and Blue Shield of Alabama in-network specialty pharmacies are: Accredo Health Group, Inc. (1-888-608-9010), CVS/Caremark (1-800-237-2767) and AllianceRx Walgreens Prime (1-877-627-6337).
What does prior authorization for medication mean?
Prior authorization requires the prescriber to receive pre-approval for prescribing a particular drug in order for that medication to qualify for coverage under the terms of the pharmacy benefit plan.
What are three drugs that require prior authorization?
Drugs That May Require Prior Authorization Drug ClassDrugs in ClassAfinitorAfinitor, Afinitor Disperz, everolimusAmpyraAmpyraAmvuttraAmvuttraAndrogens-Anabolic SteroidsAndrol-50, Danazol, Nandrolone, Oxandrin242 more rows
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Prior authorization is used to help plan providers ensure that their members are not being prescribed the most costly medication, until less expensive alternatives have been pursued.
Related links
State Employee Benefits Coverage Chart - 2010
1) As of January 1, 2010, employees submitting baseline health measures of. BMI, glucose, blood pressure, and cholesterol, via physicians certification or the
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