Therapy. Prior Authorization is required for coverage of enteral, parenteral, or oral nutrition and any related supplies. Additional authorization is required when Member cost-sharing for nutrition and/or supplies exceeds $2,500 in a Calendar Year.
Appears in 5 contracts
Sources: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Large Group Choice Plan Medical and Hospital Service Contract
Therapy. Prior Authorization is required for coverage of enteral, parenteral, or oral nutrition and any related supplies. Additional authorization is required when Member cost-sharing for nutrition and/or supplies exceeds that exceed $2,500 in a Calendar Year.
Appears in 4 contracts
Sources: Non Group Medical and Hospital Service Contract, Non Group Medical and Hospital Service Contract, Medical and Hospital Service Contract