Special Formulations

prednisolone oral solution (Millipred®, Veripred 20®)

PA criteria:

Authorization of Millipred® or Veripred 20® requires a patient-specific, clinically significant reason why the member cannot use generic prednisolone oral solution available in strengths of 5mg/5ml, 15mg/5ml, 25mg/5ml, generic prednisolone oral solution 5mg/5ml, generic dexamethasone oral solution 0.5mg/5ml, or other cost effective therapeutic equivalent medication(s).

If you have questions please call the Pharmacy Help Desk at (800) 522-0114 option 4 or (405) 522-6205 option 4.

Last Modified on Sep 24, 2021

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.