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Prior Authorization Drug Guidelines
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High Level Drug Policies
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Preferred Specialty Management Policies
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Drug Policies
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QLL Policies
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Due to proprietary reasons, we are unable to post the Milliman Care Guidelines
on our website, but a hard copy of an individual guideline can be provided as requested.
Milliman Care Guidelines (MCG) but not limited to:
- Abraxane
- Alferon
- Antagon
- Aredia
- Avastin
- Cayston
- Cerezyme
- Docetaxel
- Elaprase
- Euflexxa
- Eylea
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- Gammagard
- Gamunex C
- Gattex
- Gemcitabine
- Infergen
- Intron
- Laronidase
- Myobloc
- Neulasta
- Octreotide Acetate
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- Orthovisc
- Provenge
- Pulmozyme
- Soliris
- Somavert
- Treprostinil
- Ventavis
- Vpriv
- Xgeva
- Xiaflex
- Yervoy
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VCHCP Custom Drug Policies:
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Market Events Program:
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VCHCP Formulary
Exception Criteria for Exception Review Only
National Preferred Formulary Exclusions List
National Preferred Formulary Exception Criteria for Exception Review Only
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Formulary Exclusions -For Exception Review Use Only:
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Step Therapy
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Medication-Related Policies
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Ingrezza
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2005 County of Ventura, California. All Rights Reserved. View our
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