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ER AND PRIOR AUTHORIZATION FORM Coverage Criteria Covered for patients with chronic pain due to a malignant condition. For any other diagnosis ER and will only be approved for payment if the following criteria is met Members with chronic pain due to other conditions will be required to use two 2 alternative formulary long acting opioids.
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Oxocontin is a specific drug used for the management of pain.
No one is required to file oxocontin as it is a drug, not a form or document.
Oxocontin is not filled out, it is prescribed by a healthcare professional and obtained from a pharmacy.
The purpose of oxocontin is to provide pain relief to patients.
No information needs to be reported on oxocontin, it is a medication.
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