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Good Morning
3:00:09 AM CDT
Wednesday, April 23, 2014

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Pharmacy Benefit Management

Topics First Fill Program Forms & Publications Service Guide for Pharmacists
Pharmacy Overview Sign Up Process Prior Authorization Form (M3) Quick Reference Sheet
US Script Pharmacy Fee Schedule Formulary/Product Resrictions Brand Medication Prior Authorization Form (P2)
Plan Benefits Generic Dispensing Drug Quantity Limits Relistor Prior Authorization Form (P3)
Plan Design First Fill Product Restrictions DAW1 Policy Statement
    Sample Narcotic Contract  

Plan Benefits

  • Point-of-sale processing of pharmacy charges
  • Readily accessible network of national pharmacies
  • Drug utilization reviews to ensure safe prescription use
  • More efficient and effective patient care
  • Step therapy to ensure appropriate use of drugs and other therapies
  • Prior authorization that can be designed to be time dependent, drug dependent, patient dependent, or physician dependent
  • First Fill Program

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