...2026 Prior Authorization List 2025 Interoperability Prior Authorization Report Your provider can submit a request for a prior authorization using the Prior Authorization Request Form (coming soon). Prescription Drug Benefit...

...Our ICD-10 resources include network notifications, frequently asked questions (FAQs), claim processing and preauthorization updates, as well as additional resources from the Centers for Medicare & Medicaid Services (CMS) and...

...will not be covered. If you have a drug that requires pre-authorization and you would like to use mail orders, our mail order pharmacy will call your provider. If your...

...Next Generation Managed Care: Prior Authorization and Claims Quick Reference Guide ODM Telehealth Billing Provider Reference Guide Opioid Tool Kit Provider Attestation FAQs Provider Immunization Guide Provider Portal: Assessments and...

...Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your provider will get this for you. 24-Hour Nurse Advice Line Call...

...for help with your plan or finding an in-network provider or pharmacy. *Some drugs and services require pre-authorization from us before you get them. Check the Drug Formulary. Congratulations on...

...year, changes may occur to drugs on our formulary. Check this list to view the updates. 2026 Notice of Formulary Changes 2025 Notice of Formulary Changes Last updated on 12/01/2025...

...can use and give out your information without an authorization (special permission from you) for our normal business and where required by law. This document tells you of some of...

...authorization. Your provider will take care of this for you. The Prior Authorization list shows which services you need approval for before you can get them. 2026 Prior Authorization List...

...to drugs on our formulary. Check the Notice of Formulary Changes to view the updates. View the links below for more pharmacy topics: Find My Prescriptions Find a Pharmacy Mail...