How do I know whether to get prior authorization for a brand name drug through the PDP clinical call center or through the mandatory generic prior authorization system?
The process for obtaining a prior authorization for PDP and the Mandatory Generic Drug Program is explained in the Medicaid Pharmacy Prior Authorization Process Flowchart. It is also important to have the most recent version of the PDL available when using the Process Flowchart. Information can also be obtained by calling the clinical call center and speaking with a representative.
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