2013 Prior Authorization
Covered Drugs for Dual Eligible Individuals
Theraputic Categories:
- Antibiotics - Ketocanazole Oral Tablets, Special Formlations
- Anti-Infectives
- Biologics - Botulinum toxins, Hematopoetic, Immunomodulating, Replacement Therapy, Respiratory, Skeletal
- Cardiovascular - Antihypertensives, Antiplatelet, Antihyperlipidemics, Clonidine Products, Revatio
- Central Nervous System/Behavioral Health - ADHD & Narcolepsy, Alzheimer's, Antidepressants, Anti-Migraine, Anxiolytic/Hypnotic, Atypical Antipsychotics, Fibromyalgia, Multiple Sclerosis, Narcotic Analgesics, Parkinson's, Restless Leg Syndrome, Requip XL/Mirapex ER, Smoking Cessation, Substance Abuse Treatment
- Diabetes/Endocrine - Diabetic Medications, Erythropoietin Stimulating Agents, Growth Hormone, Testosterone
- Gastro-Intestinal - Amitiza, Anti-emetic, Anti-Ulcer
- Genitourinary System - Benign Prostatic Hyperplasia (BPH), Bladder Control Drugs
- Ocular/Otic - Ocular Allergy, Opthalmic Anti-Infective/Steroid, Ophthalmic Glaucoma, Otic Anti-Infective
- Respiratory - Asthma & COPD Inhalation Medications, Antihistamines, Leukotriene Modifiers, Nasal Allergy Sprays, Synagis, Xolair
- Skeletal System - Amrix & Fexmid, Bisphosonates, Forteo, Gout, NSAIDs, Skeletal Muscle Relaxants, Soma
- Topical - Antifungal, Elidel/Protopic, Lidoderm Patch, Pediculicides, Topical Antibiotic Medications, Topical Corticosteroids