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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.

9/3/20 Synagis benefits and coverage for 2020-21 season
9/1/20 December 2020 Medical and Pharmacy Policy updates now available
8/31/20 We’re sending health and wellness reminders to members
8/18/20 COVID-19: Auths extended; non-emergent transport modifiers
8/3/20 Prescribing patience for low back pain
8/1/20 November 2020 Medical and Pharmacy Policy updates now available
7/31/20 Dental providers: Encourage your patients to stay current with vaccines
7/30/20 Vaccines: Encouraging your patients to stay current
7/29/20 Convenient at-home maintenance medication delivery with PillPack
7/29/20 AcariaHealth Fertility is leaving our specialty pharmacy network
7/1/20 October 2020 Medical and Pharmacy Policy updates now available
6/15/20 Dental care strategies in the age of COVID-19
6/2/20 Formulary changes planned for fourth quarter
6/1/20 September 2020 Medical and Pharmacy Policy updates now available
5/1/20 August 2020 Medical and Pharmacy Policy updates now available
4/24/20 Patients with asthma can get early refill of their controller med
4/22/20 COVID-19: Extending authorizations for specific services
4/3/20 Chloroquine, hydroxychloroquine coverage update
4/1/20 July 2020 Medical and Pharmacy Policy updates now available
3/13/20 Home telemonitoring and healthy meals continue to expand
3/12/20 Check member coverage, requirements for gene therapy services
3/6/20 Information about our clinical programs
3/6/20 Medication coverage, auth requirements for Medicare Advantage
2/28/20 June 2020 Medical and Pharmacy Policy updates now available
2/20/20 BriovaRx is leaving our specialty pharmacy network
2/11/20 The way you write an epinephrine auto-injector Rx matters!
1/31/20 May 2020 Medical and Pharmacy Policy updates now available
1/1/20 April 2020 Medical and Pharmacy Policy updates now available
12/4/19 We’re updating the initial authorization process for PT and OT
12/1/19 March 2020 Medical and Pharmacy Policy updates now available
11/22/19 Continuous glucose monitoring device coverage starting January 1
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
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