Pre-Authorization. The Contractor shall suspend the requirement for any pre-authorization of services required in the Agreement and as defined in Article 1.90. The Contractor shall also extend all existing pre-authorization of services for members. In addition, prior authorizations for medications shall be expanded by automatic renewal without clinical review, or time/quantity extensions. In the event of a drug shortage occurrence the Contractor shall cover a brand name drug product that is a multi-source drug if a generic drug option is not available.
Appears in 3 contracts
Sources: Amendment No. 4, Amendment No. 4, Amendment No. 4