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Special Bulletins/Mailings

2014 Mailings

Facilities: Prior Authorization Required for Aloxi, Camptosar, Gemzar & Neulasta Starting 9/1/14

Facilities: Register now for a Webinar or Educational Session with NaviHealth

Facilities: Register Now for Educational Session with NAVIHEALTH

Clarification Regarding Non-Coverage Determinations for Medicare Advantage Members

Avastin, Eloxatin, Herceptin & Rituxan Require Prior Authorization Beginning 7/1/2014

MA Outpatient Behavioral Health Fee Schedules EFF 5/1/2014

8 Drugs Added for Self-Administered Injectable or Oral Biotechnology Drugs, Eff 4/7/14

Changes to Highmark Medical Injectable Drug Program

Revised HIPPS Codes on Medicare Advantage Claims for HH and SNF Providers

Authorization Required for ESRD Related Prescription Drugs for Medicare Advantage

Highmark to Change Source for Clinical Laboratory Fees, Eff. March 3, 2014

Requirements for Non-Emergency Transportation for Medicare Advantage Members