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Requesting prior authorization for direct ship oral medications

October 31, 2014

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We would like to remind physicians that the Drug Pre-Authorization and Formulary transaction on the NaviNet® web portal should not be used to submit prior authorization requests for oral medications that are shipped directly to our members. The Drug Pre-Authorization and Formulary transaction should be used only for injectable drugs sent via the Direct Ship Injectables Program.

To request prior authorization for oral medications, use the instructions listed in the Pharmacy section of our website or refer to the Pharmacy section of the Provider Manual for Participating Professional Providers.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.

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