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Medical pharmacyDrug reimbursement appeal process
Drug reimbursement appeal processMedical oncology medications
Skai Blue utilizes Carelon Medical Benefits Management, an independent company, to provide prior authorization of health plan coverage for medical oncology medications for members of its individual and group plans.
Providers are required to secure a prior authorization for medical oncology medications. Providers may submit a request to Carelon Medical Benefits Management
How to understand which medications require a prior authorization through Carelon medical oncology program:
- Medical oncology medication list | machine readable [CSV]
- Review applicable coverage policy
- Oncology benefits management program is listed at the top of the policy