Gateway Health Plan Pharmacy Requirements

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I. Requirements for Prior Authorization of Stimulants and

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . authorization for a Stimulants and Related Agent that was previously approved will take into account whether the beneficiary: 1. Has documentation of tolerability and a positive …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=Wm3NfJep0U2ANIFDGz2K5w

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Medications to Require Medical Prior Authorization

(4 days ago) WEBIf you require assistance submitting requests, please contact OH’s provider relations at 1888- -916-2616 Ext. 806. • For a smooth transition to the prior authorization process, …

https://content.highmarkprc.com/Files/Wholecare/updates/J_CodePriorAuthApr23Caid.pdf

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Medications to Require Medical Prior Authorization

(4 days ago) WEBHealth benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue …

https://content.highmarkprc.com/Files/Wholecare/Updates/J_CodePriorAuthFeb22Care.pdf

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Medications to Require Medical Prior Authorization - Valley …

(9 days ago) WEBGateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). authorization requirements for these …

https://www.valleypreferred.com/wp-content/uploads/02072022-Gateway-HMRK-Wholecare-MEDICARE-ASSURED-Medication-Prior-Auth-EFF-2.21.2022.pdf

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2023 Highmark Wholecare Enrollment Form

(9 days ago) WEBYou may also complete the enrollment form, sign and date it, and mail or fax the enrollment copy to: Highmark Wholecare. Attn: Enrollment 444 Liberty Avenue, Suite 2100 …

https://www.highmark.com/content/dam/digital-marketing/en/highmark/highmarkdotcom/wholecare/wholecare-working-images/documents/pdfs/medicare/how-to-enroll/2023-enrollment-form.pdf

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PA Medical Assistance, Specialty Pharmacy Chartwell PA

(7 days ago) WEBChartwell Specialty Pharmacy accepts the following PA Medical Assistance, Fee-for-Service Program (ACCESS) plans in Pennsylvania: If you are a PA Medical Assistance, …

http://chartwellpa.com/patients/PA-Medical-Assistance.asp

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Highmark acquires full ownership of Gateway Health

(8 days ago) WEBPITTSBURGH (September 7, 2021) — Highmark announced today it has closed on its transaction to acquire full ownership of Gateway Health Plan, Inc. (Gateway Health), a …

https://www.highmark.com/newsroom/press-releases/9-7-2021-highmark-acquires-full-ownership-of-gateway-health

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BENLYSTA-Gateway-Enrollment-Form-English.pdf

(Just Now) WEBPlease complete the form, sign, and FA to 1-877-850-9901.For assistance, please call 1-877-423-597 Monday Friday, 8AM to 8PM ET. ENROLLMENT FORM • Prescriber …

https://www.benlystahcp.com/content/dam/cf-pharma/hcp-benlystahcp/en_US/pdf/BENLYSTA-Gateway-Enrollment-Form-English.pdf

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Annual Notice of Changes for 2024

(7 days ago) WEBThis Annual Notice of Changes gives you a summary of changes in your benefits and costs for 2024. For details, look in the 2024 Evidence of Coverage for Highmark Wholecare …

https://medicare.highmark.com/content/dam/highmark/en/healthco/shopx/highmark-wholecare/plan-documents-2024/ruby-plan-docs/2024_Ruby_Blue_Shield_ANOC_009.pdf

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Requirements for Prior Authorization of Antipsychotics

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . I. Requirements for Prior Authorization of Antipsychotics A. Prescriptions That Require …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=eChOKVmAfEuYzaa3ICYc9w

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Electronic Prescribing of Controlled Substances

(3 days ago) WEBBoth the prescriber and pharmacy must each be EPCS certified. How to Begin Using EPCS Prescribers 1. Contact your Electronic Health Records (EHR) or E-prescribing …

https://www.njconsumeraffairs.gov/dcu/Documents/Electronic-Prescribing-of-Controlled-Substances-EPCS-for-a-Practitioner.pdf

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Background Benefits of EPCS Requirements to use EPCS How …

(9 days ago) WEBRequirements to use EPCS Both the prescriber and pharmacy must each be EPCS certified. How to Begin Using EPCS Pharmacies 1. Contact your Pharmacy Software …

https://www.njconsumeraffairs.gov/dcu/Documents/Electronic-Prescribing-of-Controlled-Substances-EPCS-for-a-Pharmacy.pdf

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Pennsylvania Medicaid and Medicare Insurance Highmark …

(Just Now) WEBPennsylvania Community Roots. Highmark Wholecare calls Pennsylvania home. We know that working in our communities helps us offer whole care to our neighbors. We proudly …

https://highmark.com/wholecare

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBFor questions, check application status or verify acceptance of new providers, call: • PCPs or Specialists: 1-800-682-9094 x52380• MLTSS providers: 1-800-682-9094 x52670. …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Pennsylvania - Hepatitis C: State of Medicaid Access

(8 days ago) WEBAetna,10 Health Partners,11 Keystone First,12 UnitedHealthcare Community Plan,13 Gateway,14 UPMC,15 AmeriHealth,16 and Geisinger17 impose the same …

https://stateofhepc.org/wp-content/uploads/2021/05/Pennsylvania-2022_CLEAN.pdf

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A- not make its prior authorization requirements publicly …

(2 days ago) WEBAetna Better Health, AmeriHealth, Geisinger Health Plan, Keystone First Health Plan, Health Partners, Gateway, and UPMC do not list minimum liver damage …

https://stateofhepc.org/wp-content/uploads/2021/05/Pennsylvania_2022.pdf

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NON-PREFERRED MEDICATION PRIOR AUTHORIZATION …

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . I. Requirements for Prior Authorization of Ophthalmics, Antibiotic-Steroid Combinations. …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=gLTlp3Koh069xCEP5Lwz4g

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FREQUENTLY ASKED QUESTIONS (FAQs) Medicare Advantage …

(7 days ago) WEBTo enroll in one of the four State contracted D-SNPs, go to www.medicare.gov, call 1-800-MEDICARE (TTY 1-877-486-2048) or contact one of the four D-SNPs below (Note: The …

https://www.nj.gov/humanservices/dmahs/home/D-SNP_FAQ.pdf

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Provider Resource Center

(8 days ago) WEBLanguage Form. Lead Screening Analysis Form. MA30 - Hysterectomy English. MA30 - Hysterectomy Spanish. MA31 - Sterilization Form - English. MA300X - …

https://wholecare.highmarkprc.com/Medicaid-Resources/Forms-Reference-Materials

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College of Pharmacy - University of South Carolina

(5 days ago) WEBThe College of Pharmacy awarded 98 doctor of pharmacy degrees and one doctor of pharmaceutical sciences degrees during hooding and commencement …

https://sc.edu/study/colleges_schools/pharmacy/about/news/2024/cop-celebrates-class-of-2024.php

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Arnold School of Public Health - University of South Carolina

(9 days ago) WEBJust weeks after stepping on campus as a freshman, Ghosh undertook a research assistantship with the Department of Health Services Policy and Management …

https://sc.edu/study/colleges_schools/public_health/about/news/2024/may_grad_ghosh_ph.php

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