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Common use of Prior Authorization Clause in Contracts

Prior Authorization. Step Therapy (trial of a lower cost drug before a higher cost drug is covered).

Appears in 8 contracts

Sources: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement

Related Clauses

  • Power; Authorization
  • WORK AUTHORIZATIONS
  • Work Authorization
  • Required Authorizations
  • LEGAL AUTHORIZATION

Parent Clauses

  • DEFINITIONS
  • CORE BENEFITS AND SERVICES
  • Employer Not Responsible For Grievance Time
  • Provider Responsibilities
  • Grievance Procedure

Sub-Clauses

  • Notice of Action
  • Billing for Services
  • Other Group Participating Providers
  • Adverse Determinations
  • Continued/Extended Services
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