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PRIOR AUTHORIZATION REQUEST FORM
BM CHP 9.080 Preferred Drugs
Version 1.0
Effective 7/24/18Phone: 8885660008Fax back to: 8663055739ENVISION RX OPTIONS manages the pharmacy drug benefit for your patient.
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What is 080 non-preferred drugs?
080 non-preferred drugs are medications that are not preferred by a certain insurance plan or formulary, typically due to cost or availability of alternative options.
Who is required to file 080 non-preferred drugs?
Pharmaceutical companies or healthcare providers may be required to file 080 non-preferred drugs, depending on the regulations of the specific insurance plan or formulary.
How to fill out 080 non-preferred drugs?
To fill out 080 non-preferred drugs, providers must typically submit a list of medications that fall under this category, along with necessary documentation and justification for their use.
What is the purpose of 080 non-preferred drugs?
The purpose of 080 non-preferred drugs is to help manage costs and promote the use of more cost-effective medications within a specific insurance plan or formulary.
What information must be reported on 080 non-preferred drugs?
Information that must be reported on 080 non-preferred drugs may include the name of the medication, dosage, frequency of use, and reason for prescribing it despite it being non-preferred.
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