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What is the GHI HMO Policy on Pharmacy Benefit Prior Authorization and Dispensing Policies?

April 26, 2017Authorization benefit dispensing ghi hmo pharmacy policies policy prior

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What is the GHI HMO Policy on Pharmacy Benefit Prior Authorization and Dispensing Policies?

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Prior authorization by GHI HMO is required for Fertility drugs, Tretinoin Topical (Retin-A) for Age > 35, COXZ-II Inhibitors (Celbrex/Vioxx), Spoanox, Growth Hormones, Interferons, Glatiramer Acetate and Alglucerase. For more detail please refer to the Pharmacy Benefit and Prior Authorization and Dispensing Policies (effective 1/1/00).