http://highmarkbcbs.com/ WebDrug lists, or formularies, are based on which type of plan you have. If you’re unsure which list to choose, check with your employer, review your benefits booklet, or call the number on the back of your member ID card. You can also login to the member portal to access your plan’s formulary. Choose from this list if:

Prescription Drug Prior Authorization - hbs.highmarkprc.com

WebJan 12, 2024 · The Highmark Medication Therapy Management (MTM) program is an integrated pharmacy experience that helps Medicare Advantage members with chronic conditions and high prescription costs better manage their medications. We'll help you make a plan We want to identify potential gaps in care as early as possible. WebHighmark requires authorization of certain services, procedures, and/or Durable Medical Equipment, Prosthetics, Orthotics, & Supplies ( DMEPOS) prior to performing the … golden cup public house

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WebDec 14, 2024 · List of drugs that are included in the program Below is the necessary information that should be provided on the prior authorization to limit and reduce the additional outreaches to the Provider's office. Patient name, address, DOB Date needed Diagnosis code in ICD10 format Patient weight Prescription Insurance Information Drug … WebIf you want to see if the prescription drugs you're taking are covered by your plan, use the drug lists below. A drug list* is a list of prescription drugs your health plan covers. It's also called a formulary. All the drugs on our drug lists have been approved by the U.S. Food and Drug Administration. golden cup ranch