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Prior Authorization/Clinical Criteria

Page with quarterly updates on changes to medical policies, drug formularies, and services requiring prior authorizations.

/policies/prior-authorization-clinical-criteria

Medical Management Forms

Here's a quick link to the Prior Authorization Request form as well as out-of-network referral paperwork and more.

https://secureportals.phpni.com/provider/downloads/all

Amazon RxPass and Mark Cuban Cost Plus Drugs vs. Your Health Insurance

Online pharmacies, like retail giant Amazon and Mark Cuban Cost Plus Drugs, are shaking up the health insurance industry and impacting the way consumers are shopping for medications.

/blog/amazon-rxpass-and-mark-cuban-cost-plus-drugs-vs.-your-health-insurance