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PHARMACY POLICIES - COMMERCIAL MEMBERS
Specialty Drugs Require Prior Auth - Commercial All unclassified drug codes (such as J3490, J3590, J8999 and J9999) require prior authorization. When requesting authorization for an unclassified drug please submit the NDC#, Drug Name, and Dosage. Other Specialty Medications, not listed on the Specialty Drug List, may be covered under your medical benefits. If covered, these drugs are subject to the coinsurance specified in Attachment A and may be subject to Prior Authorization.