Pharmacy Policies

These pharmacy policies apply to Medicare Advantage plans.

Certain medications may be covered under Medicare Part B. These are drugs that are usually not self-administered and are injected or infused in a doctor’s office, an outpatient hospital clinic, or outpatient infusion center. Some of these medications may require a prior authorization (PA). Visit the link below for a list of these Part B medications requiring PA.

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

Navigate

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

Y

Z

Archived Pharmacy Policies