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Clinical & Pharmacy

In the “Current” tab, you’ll find news published during the past year. Use the “Archive” tab to view news going back an additional two years.

11/1/19 February 2020 Medical and Pharmacy Policy updates now available
11/1/19 Flu season coverage and reimbursement for 2019-2020
11/1/19 We’re expanding rTMS prior authorization to Medicare HMO and PPO Blue
11/1/19 Changes to nutrition counseling coverage for HMO members
10/25/19 Screening for unhealthy alcohol use
10/23/19 Home telemonitoring program for heart failure patients to expand
10/10/19 Stroke and dental care
10/1/19 January 2020 Medical and Pharmacy Policy updates now available
10/1/19 Updated payment policies now available
9/27/19 Did you miss our HPV Vaccination Tips webinar?
9/27/19 FEP members now eligible for Advanced Illness Support program
9/27/19 Raising awareness for postpartum depression
9/18/19 Genetic testing prior authorization best practices
9/3/19 Adding diagnoses to vitamin D testing medical policy
9/1/19 December 2019 Medical and Pharmacy Policy updates now available
8/28/19 Synagis benefits and coverage for 2019-20 season
8/20/19 Help your patients with stroke, Sjogren’s syndrome, improve overall health
8/19/19 Sjogren’s syndrome and dental care
8/16/19 We’re sending health and wellness reminders to members
8/1/19 November 2019 Medical and Pharmacy Policy updates now available
7/10/19 Prescribing patience for low back pain
7/1/19 October 2019 Medical and Pharmacy Policy updates now available
7/1/19 Updated payment policies now available
6/1/19 September 2019 Medical and Pharmacy Policy updates now available
5/30/19 Changes to our specialty pharmacy network and medication list
5/24/19 SinfoníaRx may call your office
5/23/19 Introducing our new medication search tool
5/1/19 August 2019 Medical and Pharmacy Policy updates now available
4/1/19 July 2019 Medical and Pharmacy Policy updates now available
3/26/19 Documenting weight, nutrition, and activity counseling for children and adults
3/22/19 Talking to your patients about the HPV vaccine
3/12/19 New Advanced Illness Support Program
3/8/19 Lower cost combination inhalers can save members money
3/8/19 Prescribing the lowest cost diabetes medication
3/1/19 June 2019 Medical and Pharmacy Policy updates now available
2/28/19 2019 information about our clinical programs
2/12/19 Meals, home telemonitoring available to heart failure patients
2/1/19 May 2019 Medical and Pharmacy Policy updates now available
1/10/19 Genetic testing prior authorization program resources
1/1/19 April 2019 Medical and Pharmacy Policy updates now available
12/1/18 March 2019 Medical and Pharmacy Policy updates now available
11/30/18 New efforts in fighting the opioid epidemic
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