PHARMACY POLICY

PRC

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Policy Program

Managed Rx Coverage Quantity Level Limits Step Therapy Formulary Prior Authorization

Line of Business

Healthcare Reform Commercial Medicare

Region

New York Pennsylvania Delaware West Virginia

Search Results

Policy Program	Policy Name	Policy Number	Effective Date	History
Policy Program	Policy Name	Policy Number	Effective Date	History

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

© 2022 Highmark Inc., All Rights Reserved