Meeting Thu, 12/16/2021 - 12:00 Drug Prior Authorization Committee Meeting Information

Date
Media
Edit Implementation Schedule December 2021
New Drugs Edits December 2021
Conduent Reports December 2021
PDL Recommendations December 2021
PDL Announcements December 2021
Agenda
DPA Agenda December 2021
Minutes
DPA Minutes December 2021
Criteria
DUR Criteria
Opioid Policy Review Edits
Media
High Risk Therapies December 2021
MHD Opioid Policy Update December 2021
MME December 2021
Opioid Dependence Agents December 2021
Opioid Emergency Reversal Agents December 2021
Opioids Long Acting December 2021
Opioid Short Acting December 2021
TIRF December 2021
Tramadol Like Agents December 2021
DUR Criteria
Clinical Edit Proposals – Existing Criteria
Media
Butalbital Combo without Codeine December 2021
Butalbital Combo Excessive Therapy December 2021
Diabetic Supply Quantity Limitation December 2021
Out of State Pharmacies December 2021
Selzentry December 2021
15 Day Supply Oral Oncology December 2021
DUR Criteria
Clinical Edit Proposals – New or Revised Criteria
Media
15 Day Supply December 2021
Antipsychotics 1st Gen Typical December 2021
Antipsychotics 2nd Gen Atypical December 2021
APAP Accumulation December 2021
Benzodiazepines Select Oral December 2021
BiDil December 2021
Biosimilar vs Reference Products December 2021
Corlanor December 2021
Empavel December 2021
Extended Supply December 2021
High Cost Medications December 2021
Kerendia December 2021
Non Oral Contraceptives December 2021
Pompe Disease December 2021
Spinal Muscular Atrophy December 2021
DUR Criteria
Preferred Drug List Edit Proposals – Existing Criteria
Media
Alzheimers Agents December 2021
Anticonvulsants Dravet Syndrome December 2021
Antiemetics THC Derivatives December 2021
Anti Parkinsonism MAO B Inhibitors December 2021
Anti Parkinsonism Non Ergot Dopamine Agonists December 2021
GI Motility Agents Chronic December 2021
Sedative Hypnotics December 2021
Somatostatin Analogs December 2021
DUR Criteria
Preferred Drug List Edit Proposals – New or Revised Criteria
Media
Antiandrogenic Agents December 2021
Antiemetics 5 HT3 and NK1 Injectables December 2021
Antiemetics 5HT3 NK1 and Other Select Non Injectables December 2021
Anti Migraine Alternative Oral Agents December 2021
Anti Migraine Serotonin 5HT1 Receptor Agonists December 2021
Antiretroviral Therapy December 2021
Bile Salt Agents December 2021
Calcitonin Gene Related Peptide Inhibitors December 2021
CDK4 6 Inhibitors December 2021
Fibromyalgia Agents December 2021
Glucagon Agents December 2021
Hereditary Angioedema Agents December 2021
Homozygous Familial Hypercholesterolemia December 2021
Neuropathic Pain Agents December 2021
NSAIDs December 2021
Skeletal Muscle Relaxants December 2021
VMAT2 Inhibitors December 2021
Page
Drug Prior Authorization Committee Meeting Information