Gateway Health Plan Prescription 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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Gateway Health Plan - MMITNetwork

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

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=v-64Z7dFREmSgZL389ieng

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Pennsylvania Medicaid and Medicare Insurance

(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 have: More than 400,000 members. A …

https://highmark.com/wholecare

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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_CodePriorAuthJan22Caid.pdf

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2022 Gateway Essential Enhanced Preferred Drug List

(7 days ago) WEB2022 Gateway Essential Enhanced Preferred Drug List The following Preferred Drug List is an abbreviated version of commonly prescribed medications.

https://www.cerpassrx.com/wp-content/uploads/2021/09/Gateway_Essential_Enhanced_PDL_1.1.22_v2.pdf

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E-Prescribing CMS - Centers for Medicare & Medicaid …

(2 days ago) WEBE-Prescribing. E-prescribing enables a prescriber to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the …

https://www.cms.gov/medicare/regulations-guidance/electronic-prescribing

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Highmark acquires full ownership of Gateway Health

(8 days ago) WEBAbout Highmark Inc. One of America's leading health insurance organizations and an independent licensee of the Blue Cross Blue Shield Association, …

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

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Gateway Health To Offer New Medicare Plan to Residents …

(4 days ago) WEBUnderstanding the challenge of introducing a new health plan option during the overcrowded Medicare Annual Enrollment season, Gateway will hold various …

https://www.prnewswire.com/news-releases/gateway-health-to-offer-new-medicare-plan-to-residents-of-philadelphia-bucks-and-delaware-counties-300341885.html

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NCQA Health Insurance Plan Ratings Detail - National …

(1 days ago) WEBDetailed Health Insurance Plan Ratings for Gateway Health Plan, Inc. from 2019 - 2020. NCQA Health First-line psychosocial care for youth on antipsychotic medications Did …

https://healthinsuranceratings.ncqa.org/2019/HprPlandetails.aspx?id=219

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Prior Authorization & Referrals :: The Health Plan

(6 days ago) WEBPharmacy Prior Authorization and Notification Requirements. To obtain prior authorization, call 1.800.624.6961, ext. 7914 or fax 304.885.7592 Attn: Pharmacy. Newly approved, off …

https://www.healthplan.org/providers/prior-authorization-referrals

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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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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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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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Specialty Pharmacy Management - Gateway Health Partners

(4 days ago) WEBGHP offers a best-in-class specialty pharmacy network with our industry-leading contracts with both large national and niche players. This allows us to offer flexible networks …

https://gatewayhealthpartners.com/solutions/specialty-pharmacy-management/

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2022 Gateway Health Medicare Assured Diamond (HMO D-SNP) in

(9 days ago) WEBThe Gateway Health Medicare Assured Diamond (HMO D-SNP) has a monthly premium of $40.70. That is $488.40 for 12 months. There are a few factors that can increase or …

https://q1medicare.com/MedicareAdvantage-2022CHealthPlanBenefitsPlainText.php?state=PA&ZIP=&countyCode=42129&contractId=H5932&planId=001&segmentId=0&plan=Gateway%20Health%20Medicare%20Assured%20Diamond%20(HMO%20D-SNP)%20-%20H5932-001-0

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Gateway BMED Fund

(4 days ago) WEBThe Gateway BMED Fund is a regional health insurance fund that offers public entities a cost-effective source for providing quality health benefits to their employees. Founded in …

https://www.bmedhif.com/

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Background Benefits of EPCS Requirements to use EPCS How …

(9 days ago) WEBNew Jersey practitioners and pharmacies can utilize EPCS for all patient prescriptions. Benefits of EPCS Single, streamlined workflow for all prescriptions, both controlled …

https://www.njconsumeraffairs.gov/dcu/Documents/Electronic-Prescribing-of-Controlled-Substances-EPCS-for-a-Pharmacy.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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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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A Quick Guide to Medicare and Medicaid.

(7 days ago) WEBapproved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These “bundled” plans include Part A, Part B, and …

https://www.medicare.gov/media/publication/12207-a-quick-guide-to-medicare-medicaid.pdf

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North Bergen, New Jersey ACA Health Insurance Plans

(1 days ago) WEBChoose a North Bergen ACA Health Insurance plan with the coverage and price that fits your needs. 1-817-813-4562, TTY 711. Find a licensed insurance agent-Text Size +

https://www.healthmarkets.com/plans/aca-health/new-jersey/north-bergen/

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Senators Draft Bipartisan Bill Streamlining Rx Drug Prior Auth …

(7 days ago) WEBA bipartisan group of five senators are continuing to focus on ensuring prior authorization requirements aren’t used to ration coverage to care, announcing Friday …

https://insidehealthpolicy.com/daily-news/senators-draft-bipartisan-bill-streamlining-rx-drug-prior-auth-requirements

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Gateway Health Plan - MMITNetwork

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

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=TwJVxFQJXUGC5C9SDzB8bg

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