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P18-20 Lab Management Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers – eviCore Healthcare Specialty Utilization Management (UM) Program
Program effective Date: Mar 02, 2020
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P17-20 Medical Oncology Drug Prior Authorization Updates for Fully Insured Commercial and Medicare Advantage Subscribers – eviCore Healthcare Specialty Utilization Management (UM) Program
Program effective Date: Mar 02, 2020
Provider
QP6-20 Separate Remits Will be Sent for Processed Legacy Platform Runout Claims
Program effective Date: Jan 08, 2020
Provider
QP7-20 Pharmacy Benefit Exclusion for Vyondys 53 (golodirsen)
Program effective Date: Jan 08, 2020
Provider
QP1-20 Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) Criteria: Palforzia and Viaskin Peanut (Peanut Allery Oral Immunotherapy)
Program effective Date: Jan 08, 2020
Provider
QP4-20 Minnesota Health Care Programs (MHCP) and Minnesota Senior Health Options (MSHO) Behavioral Health Fax Back Notification Update
Program effective Date: Jan 08, 2020
Provider
QP5-20 Pharmacy Benefit Exclusions
Program effective Date: Jan 08, 2020
Provider
QP10-20 Pharmacy Benefit Exclusion for Xenleta TM, Asparlas TM, Ogivri TM and Tranexamic Acid/Sodium Chloride
Program effective Date: Jan 22, 2020
Provider
QP9-20 Pharmacy Benefit Exclusion Healthcare Administered Drugs
Program effective Date: Jan 22, 2020
Provider
QP15-20 Commercial Medical Drug Exclusion List Expanded to Include Avsola
Program effective Date: Jan 22, 2020