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12/15/2016 Prior Authorization AETNA BETTER HEALTH OF LA MEDICAID Antidepressants Formulary (LA88) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review
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Antidepressants - non formulary are medications that are not on the approved list of covered drugs by a specific formulary.
Healthcare providers and pharmacies are required to report the use of antidepressants - non formulary.
To fill out antidepressants - non formulary, healthcare providers need to document the prescription details and reason for selecting a non-formulary medication.
The purpose of antidepressants - non formulary is to provide options for patients when formulary drugs are not suitable or effective.
The information reported on antidepressants - non formulary includes the patient's name, medication details, prescriber information, and reason for selecting a non-formulary drug.
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