Pharmacy. The Contractor must establish policies and procedures to comply with the Division’s Prior Authorization criteria in accordance with the PDL guidance for the drugs listed on the PDL. Drugs with manual prior authorization criteria are developed and maintained by the Division and can be found on the Division’s website. When changes occur to these criteria, the Division will notify the Contractor. Updated criteria must be implemented upon receipt. Drugs with electronic prior authorization criteria (Smart PA) are addressed in Section 0.X.Xxxx Exchange Requirements, of this Contract. The Contractor may approve non-preferred drugs when one of the following Prior Authorization criteria is satisfied:
Appears in 5 contracts
Samples: medicaid.ms.gov, medicaid.ms.gov, medicaid.ms.gov
