Common use of Medications Requiring Prior Authorization Clause in Contracts

Medications Requiring Prior Authorization. Some Medicare Part D PDPs require prior authorization for certain type medications. The Vendor Pharmacy will fill a 3‐day supply of the ordered medication and forward a prior authorization form to the Operator. If not immediately approved, the Medicare Part D Plan will forward a form for the prescribing provider to sign.

Appears in 2 contracts

Sources: Management and Operations Agreement, Management and Operations Agreement