Notice of Changes to Prior Authorization Requirements
(Effective July 1, 2019)
Prior authorization, quantity limits, and step therapy changes
Notice:
Certain states require OptumRx to communicate prior authorization changes before the effective date. These July 1, 2019 flyers outline the drugs affected by prior authorization, quantity limits, and step therapy based on benefit plan designs. Please review each document for more details.
Please note: these changes may not reflect final P&T Committee determinations. These changes are specific to prescription drug benefits only, and do not reflect changes that may occur at the health plan level. Prescribers are strongly encouraged to check with the health plan for other changes that may occur.
Premium Formulary Changes (effective July, 1 2019)
Premium Non-Specialty Prior Auth Changes
Premium Non-Specialty Quantity Limit Changes
Premium Step Therapy Changes
Select Formulary Changes (effective July 1, 2019)
Select Non-Specialty Prior Auth Changes
Select Non-Specialty Quantity Limit Changes
Select Step Therapy Changes
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