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Small Group Forms and Resources

(2-50 Employees)

LEGAL DOCUMENTS
Notice of Health Information Practices Updated Document September 2014
Viva Health Custom Drug List Effective April 2016
PHARMACY POLICIES - GENERAL
FORMS
PHARMACY FORMS - COMMERCIAL
Specialty Drugs Require Prior Auth – Commercial Effective January 2012 - 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.