Pharmacy

Backdating prior authorizations, 10
Diagnosis-restricted drugs, 9, 57-60
Enteral nutrition products, 59, 61-63
HealthCheck “Other Services,” 8
Paper prior authorization
Covered rebated drug categories, 7
Covered non-rebated drugs, 8
Diagnosis-restricted drugs, 9, 57-60
Enteral nutrition products, 59, 61-63
Faxing requests, 7, 53
HealthCheck “Other Services,” 8
Mailing requests, 7
Obtaining forms, 7
Overview, 7
Prior authorization request form, 7-9, 39-43, 53
Prior authorization request form for enteral
nutrition products, 7-9, 45-46, 49-52
Prior authorization request form for legend drugs,
7-9, 45-48
Response time for prior authorization, 10
STAT-PA
Dispensing drugs when system is unavailable, 6
Drug worksheets, 19-38
Follow-up to a STAT-PA request, 5
Overview, 5
STAT-PA drugs, 5, 19-38, 55
System instructions, 13-18
Index
Pharmacy Handbook — Prior Authorization Section K July 2001 73
Index