PHARMACY POLICY

PRC

History of Policy

Policy Program	Policy Name	Policy Number	Version	Effective Date	Status
Policy Program	Policy Name	Policy Number	Version	Effective Date	Status

Pharmacy policies do not constitute medical advice, nor are they intended to govern physicians' prescribing or the practice of medicine. They are intended to reflect Highmark's coverage and reimbursement guidelines. Coverage may vary for individual members, based on the terms of their benefit contract.

Highmark retains the right to review and update its pharmacy policies at its sole discretion. These guidelines are the proprietary information of Highmark. Any sale, copying, or dissemination of the pharmacy policies is prohibited; however, limited copying of pharmacy policies is permitted for individual use.

Highmark is a registered mark of Highmark, Inc

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