Prior Authorization Guidelines

To quickly find a clinical guideline press CTRL F on your keyboard and type the guideline name. The guidelines listed below are under review (8.23.18).

Anti-TNFs

Botulinum

ESA's

Growth Hormone

Growth Hormone Antagonists

Injectable OP Agents

MS Disease Modifying Agents

Pulmonary Hypertension

Somatostatin Analogs

Viscosupplements