Morgantown, WV 26505 Phone 1-800-847-3859 FAX: 1-800-531-7787. ae September 5, 2022 zs kl zl read go. 56151146003 True Metrix Blood Glucose Meter. TZ Insurance Solutions LLC and TruBridge, Inc. 304-826-2420 Email Me. UMR offers flexible, third-party administration of multiple, complex plan designs and integrated in-house services. The program also includes identity theft protection services and unlimited access to a legal resource center. CHARLESTON, WV - Gov. Author: Gonzalez, Richard Created Date: 3/17/2022 10:33:37 AM. Digital Physical Therapy. October 14, 2020 - 9:09 pm. Eliquis is “indicated to reduce the risk of stroke and systemic embolism in patients with NVAF. UMR - PEIA. Health Insurance-Single Streamlined Application. A recent review of medications on PEIA’s Preferred Drug List has prompted some changes. the therapy is preferred over continued illegal substance use in order to improve obstetric and neonatal outcomes via decreased maternal illicit behaviors. Wv peia preferred drug list. Aetna Dentists Near Me. Each section is divided by therapeutic drug class primarily defined by mechanism of action. • Medications may move to a higher tier when a generic equal becomes available. After you leave your job or your work insurance ends, the employer has 45 days to notify you of your option of electing COBRA continuation to maintain your medical coverage. As a practitioner, you have the right to correct any information obtained during the credentialing process by working directly with. Pro Data Subscription. PEIA has developed a network of over 60 participating facilities (the. Plan D is the West Virginia ONLY plan whose benefits mirror those of Plan A, but with no out-of-state benefits ex-cept for medical emergencies and a few services that are not available within WV. We and our partners store and/or access information on a device, such as cookies and process personal data, such as unique identifiers and standard information sent by a device for personalised ads and content, ad and content measurement, and audience insights, as well as to develop and improve products. Learn about other customer support options. gov or www. April 2020 PAIN THERAPEUTIC CATEGORY GENERICS PREFERRED BRANDS Opioid Analgesics tramadol PA, QL hydrocodone-acetaminophen QL codeine-acetaminophenQL hydromorphone PA, QL methadone PA, QL oxycodonePA, QL morphine ext-rel PA, QL morphine PA, QL. Drug formularies keep prescription medications affordable while making sure . The Cigna Dental Savings program is an affordable alternative to traditional dental insurance that can help you and your family save, on average, 35% off* dental care expenses. Charleston Area Medical Center is a nonprofit, 956-bed, regional referral center with nearly 8,000 employees and more than 700 physicians with admitting privileges. Huntington, WV 25701. , seven (7) days a week From April 1 to September 30, on weekends and holidays you may be required to leave a message. A new preferred drug list is available at https://bit. Part-time positions if West Virginia Law Enforcement Certified. Log In My Account bu. com and click on the “Manage My Benefits” button and follow the instructions (remember, your deadline is midnight on May 15, 2020) or call PEIA for a Transfer Form at 1-877-676-5573. Please review this Shoppers Guide for a listing of benefits. Humana's lists of prescription drugs are developed and maintained by a medical committee consisting of physicians and pharmacists. Call 1-800-472-2986 TTY: 711; 24/7. Wegovy ® should be used with a reduced calorie meal plan and increased physical activity. Call now to get connected with a licensed agent. UMR offers flexible, third-party administration of multiple, complex plan designs and integrated in-house services. The Preferred Drug List (PDL) is a medication list recommended to the Bureau for Medical Services by the Medicaid Pharmaceutical and Therapeutics (P & T) Committee and approved by the Secretary of the Department of Health and Human Resources, as authorized by West Virginia Code §9-5-15. If you have any questions, Customer Care is available 24/7 at 1-844-870-8870. j7502 cyclosporine oral 100 mg 100 mg $ 2. The Governor’s letter included the following recommendations:. Log In My Account bu. At the same time, at the state house level West Virginia was mostly blue until ten years later in 2010. Use Cigna for Brokers to access everything you need to manage your business and complete enrollments. This document includes a list of the drugs for our plan which is current as of 08/23/2022. Discontinue a discount for 90-day supplies of both generic and preferred brand maintenance drugs. For more recent information or other questions, please contact Blue Cross MedicareRx SM Customer Service at 1-888-285-2249 or, for TTY users, 711, 8:00 a. We use cookies on this website to give you the best experience and measure website usage, By continuing to use this website, you consent to these cookies. PEIA offers PEIA PPB members a weight management program which uses the services of registered dietitians and exercise professionals. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs §5-16-29. Make any changes or plan selections you wish and. and preferred brand drugs on. Predictable bleeding. A magnifying glass. The forms below can be completed, printed and faxed to the Rational Drug Therapy Program or downloaded for completion and submission. Learn more about the enrollment process and the rules for enrolling dependents in the dental and vision plans. Official transcripts must be submitted prior to the beginning of employment for all positions. Log In My Account bu. Beginning in 2022, CVS Caremark (part of CVS Health) has excluded Eliquis® (apixaban) from the CVS Caremark Preferred Drug List. Limitation on PEIA participation. It indicates, "Click to perform a search". Get your results online within 1-2 business days, and view them privately. Prescription Drug Benefits - PEIA - State of West Virginia High-Performance Preferred Drug List (Plans A, B, C and D). PEIA Home · PEIA Formulary ; WV . Benefit Administrative Systems, LLC (BAS) Founded in 1983, BAS is a results-driven third party administrator with a track record of delivering cost savings and customer satisfaction. WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Fill out, edit and send them safely. 146 Williams Dr. The program also includes identity theft protection services and unlimited access to a legal resource center. For your convenience, we have provided NDC codes and special instructions for obtaining compatible blood glucose meters. A copy of the general application form for non-academic part-time positions can be. Huntington, WV 25701. Access your MassMutual accounts and policies - anywhere, anytime. PEIA Home; PEIA Formulary; PA Form; WV Children's Health Insurance Program. This comprehensive formulary was updated on August 5, 2021, and is a complete list of drugs covered by our plan. Bridgeport Express Care. A new preferred drug list is available at https://bit. Our USA-based licensed sales agents can help you find a plan in your local area. 71% APR with premier checking, on model years 2019 and newer. If a medication changes tiers, you may have to pay a different amount. 5% 1 ADAPALENE-BNZYL PEROX 0. Plan On Experience - We've been a strong PEIA option since 1981! In fact, PEIA has been our largest, fully-insured account, Available in ALL 55 WV Counties, for the past 38 years. ye; is. Health Insurance-Single Streamlined Application. April 2020 PAIN THERAPEUTIC CATEGORY GENERICS PREFERRED BRANDS Opioid Analgesics tramadol PA, QL hydrocodone-acetaminophen QL codeine-acetaminophenQL hydromorphone PA, QL methadone PA, QL oxycodonePA, QL morphine ext-rel PA, QL morphine PA, QL. Discontinue a discount for 90-day supplies of both generic and preferred brand maintenance drugs. PEIA had placed on the blocked pharmacy list in those two years of claims. PRESCRIPTION DRUG COST MANAGEMENT ACT. ae September 5, 2022 zs kl zl read go. This formulary is accurate as of January 1, 2022 and is subject to change after this date. I was informed by dentist office the claim was denied. 2022 Commercial Formulary. Please provide all relevant lab values related to the patient's medical conditions: Q10. Morgantown, WV 26505 Phone 1-800-847-3859 FAX: 1-800-531-7787. This document includes a list of the drugs for our plan which is current as of 08/23/2022. and other cost factors, including delivery and storage. We use cookies on this website to give you the best experience and measure website usage, By continuing to use this website, you consent to these cookies. Prescription drug plans (PDPs) cover your medications but offer no medical coverage. Health insurance card (s) Foster parent or grandparent: guardian or custody papers showing custody of child required. Regular; Large; Largest; www. HealthSmart is the premier provider of innovative, customizable and scalable solutions for employers, brokers and payers. by Segundo Corcuera. OPEN NOW. 500 Virginia Street, East, Suite 400. This formulary was updated on 12/26/2017. 15 de mai. As a practitioner, you have the right to correct any information obtained during the credentialing process by working directly with. These drugs offer a medium co-payment and are often brand name drugs that are usually more affordable. We and our partners store and/or access information on a device, such as cookies and process personal data, such as unique identifiers and standard information sent by a device for personalised ads and content, ad and content measurement, and audience insights, as well as to develop and improve products. UMR, UnitedHealthcare's TPA solution, is the nation's largest third-party administrator (TPA). Prestera Center does not discriminate against any person on the basis of race, ethnicity, national origin, religion, disability, age, veteran status, gender identity or. The West Virginia Department of Health and Human Services ("DHHR") provides a website with a list of free COVID-19 testing events throughout the state. Charleston, WV. As a practitioner, you have the right to correct any information obtained during the credentialing process by working directly with. health insurance. cover the drugs listed in our drug list as long as the drug is medically necessary, the prescription is filled at a Cigna network pharmacy, and other plan rules are followed. The following is a list of the most commonly prescribed drugs. Vaccines provided for adults include pneumococcal, tetanus-diphtheria-pertussis (Tdap), influenza and shingles. Preferred Drug List (PDL). Prescription Drug Claim Form ( foreign). Instructions and Help about wv public employees insurance agency pharmacy prior. Unfortunately, for people who are not qualified for Medicare and do not have health insurance, the average cost of cataract surgery is around $3,450 per eye. A magnifying glass. adults and parents of children ages 12 and younger illuminate what they thought about their oral health and what they did to properly care for it at home and with their dentist during 2021. Below are preferred drug lists and other information that explain your benefits: High-Performance Preferred Drug List (Plans A, B, C and D) High-Performance Preventative Drug List (Plan C) High-Performance Formulary Tier Listing; Retail Maintenance Network; Maintenance Medications List; Common Specialty Medications; Case Managed Drugs. A copy of the general application form for non-academic part-time positions can be. The forms below can be completed, printed and faxed to the Rational Drug Therapy Program or downloaded for completion and submission. Taken all together, this. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. * *In clinical studies, <0. Instead, you may submit an advance notification or prior authorization in 1 of 3 ways, all of which require the member’s ID card: Online: umr. You pay one low annual fee to join, and start saving today. Perform unlimited advanced searches with our Pro Search service. Public Employees Insurance Agency. Patient's PEIA Identification #:Patient's PEIA Identification #: Patient's Date of BirthPatient's Date of BirthPatient's Date of Birth. Huntington, WV 25701. Drug availability. RDTP is part of West Virginia University School of Pharmacy's Department of Pharmaceutical Systems and Policy and supported through a contract with the West Virginia Bureau for Medical Services (WVBMS. com open_in_new. prescriptions for medications that will no longer be on the Preferred Drug List as of July 1; therefore, employees are encouraged to. Services Available. Some people use hormone therapy to seek maximum. For more recent information. Access your MassMutual accounts and policies - anywhere, anytime. One Mountwest Way — Suite 101V. JARDIANCE is a prescription medicine used to: lower blood sugar along with diet and exercise in adults with type 2 diabetes. Prior Authorizations/Drugs with Special Limitations. Charleston, WV. 29 j7504 lymphocyte immune globulin 250 mg $ 2,066. Charleston, WV. 4 mg is an injectable prescription medicine used for adults with obesity (BMI ≥30) or overweight (excess weight) (BMI ≥27) who also have weight-related medical problems to help them lose weight and keep the weight off. The Health Plan makes its determination on a standard exception and notifies the member or his/her practitioner no later than 72 hours following the receipt of the request. As part of this change, FreeStyle and OneTouch brand meters and test strips will be the preferred blood glucose products for PEIA members. Waystar Log Off. Summary Plan Description (SPD) (July 2021- June 2022). Huntington, WV 25701. Telehealth Available. Huntington, WV 25701. and other cost factors, including delivery and storage. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Medicare Plan Appeals & Grievances Form (PDF) (760. Call now to get connected with a licensed agent. Eliquis is “indicated to reduce the risk of stroke and systemic embolism in patients with NVAF. Medicare Plan Appeals & Grievances Form (PDF) (760. Log in to our provider portal. You have 60 days to respond to the election notice and apply for COBRA to continue the same medical policy you are or. Methods: A. RHC/FQHC Clinics Skilled Nursing Care Skilled Nursing Facility No No Not covered under Medicaid Expansion Plan Targeted Case Management No No PEIA and CHIP offers medical case management services. Charleston, WV. PEBB Medicare offerings. The West Virginia Children’s Health Insurance Program updates the Preferred Drug List (PDL), annually. PEIA' s Maintenance Drug. Total Control Accounts. As a re-sult of this bidding process, CVS Care-mark was the successful contractor to manage PEIA’s pharmacy benefit. By providing your email address, you are consenting to Aetna’s policies and practices regarding email usage and data collection, including, but not limited to the following: Aetna may communicate to you by email for: 90-day advance notice of material changes. Wellness Tools. Log In My Account bu. It indicates, "Click to perform a search". It's time for PEIA Weight Management Program. Customer Service -- PEIA will. One Mountwest Way — Suite 101V. The West Virginia Medicaid Program has established a Preferred Diabetic Supply List for preferred test strips and sensors. Register for Your Account Today. Call: 1-888-680-7342 Email: peia. 1 billion (nearly 82 percent) of this total. If a medication changes tiers, you may have to pay a different amount. Form can be faxed to: 1 (866) 940-7328. • Medications that require temperature control or other special handling/shipping. Vermont MAC List Request · State of West Virginia Public Employees Insurance Agency (PEIA). Authorization to amend. The West Virginia Public Employees Insurance Agency (PEIA) found it was being charged one-percent more for a prescription drug claim than the PBM was paying the pharmacy. The final decision for a patient’s drug therapy always rests with the physician. Please note that West Virginia Medicaid does not pay for fingerstick blood glucose meters. The drug lists below are used with BCBSTX "metallic" health plans that are offered through your employer. 56151147004 True Metrix Air Blood Glucose Meter Trividia Health, Inc. If you have any questions, Customer Care is available 24/7 at 1-844-870-8870. Huntington, WV 25701. Marshall University is a public research institution in Huntington, West Virginia. This document includes a list of the drugs ( formulary) for our plan which is current as of 08/23/ 2022. Log In My Account bu. WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an. Methadone (especially when prescribed for pain). ; Wegovy ® contains. Eliquis is indicated for the treatment of DVT [deep vein thrombosis] and PE [pulmonary embolism], and to reduce the. Short title; legislative intent. This formulary is accurate as of January 1, 2022 and is subject to change after this date. Non-preferred drugs will not be covered. Preferred Drug List Prior Authorization Form CoventryCares of West Virginia, Inc. B6 EFFECTIVE 07/01/2021 Version 2021. Instructions and Help about wv public employees insurance agency pharmacy prior. 1 mg $ 0. ; Wegovy ® contains. Get your results online within 1-2 business days, and view them privately. As part of this change, FreeStyle and OneTouch brand meters and test strips will be the preferred blood glucose products for PEIA members. States should seek technical assistance from CMS regarding SPAs that might be necessary. I'm going to be calling our insurance company to see if I can get that changed. Patient's PEIA Identification #:Patient's PEIA Identification #: Patient's Date of BirthPatient's Date of BirthPatient's Date of Birth. ye; is. About CoverMyMeds. Learn more about benefits. Last Updated: August 27, 2021. Zyban is a preferred drug with a copayment of $15 for a 34-day supply. NEW Patients. Under section 6008 of the Families First Coronavirus Response Act (FFCRA), state and territorial Medicaid programs may receive a. CareCentrix is a single platform that connects the last mile of care for healthcare organizations to improve outcomes, lower. WVBMS Pharmacy Services · Preferred Drug List (PDL) ; Public Employees Insurance Agency. As part of this change, FreeStyle and OneTouch brand meters and test strips will be the preferred blood glucose products for PEIA members. Medicare Advantage Plan (Humana) · Preferred Provider. 2 EFFECTIVE 01/01/2020 Version 2020. Get ready-made or create custom templates. For questions about the West Virginia Public Employees Insurance Agency, please call (888) 680-7342. We rely on objective evaluations from independent physicians. 58 j7508 tacrol astagraf ex rel oral 0. footnote 1 Promotional offers, available in-store at CVS Pharmacy or online at CVS. Enhanced Plus WV PEIA 11 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. • PEIA’s prescription drug benefit manager (PBM) will be Express Scripts beginning. Below are preferred drug lists and other information that explain your benefits: High-Performance Preferred Drug List (Plans A, B, C and D) High-Performance Preventative Drug List (Plan C) High-Performance Formulary Tier Listing. The WVIPA is fighting for pharmacy transparency, fair reimbursement, and improved access and quality for patients. You will receive a text. You have 60 days to respond to the election notice and apply for COBRA to continue the same medical policy you are or. nude females at the beach, schools nyc gov login
One Mountwest Way — Suite 101V. . Wv peia preferred drug list
• Discontinue a discount for 90-day supplies of both generic and preferred brand maintenance drugs. Active Members and Non-Medicare retirees with Preferred Provider (PPB) Plans are covered by the following prescription drug benefits: Preferred Drug List. Wellness Tools. Gainwell is your pharmacy benefits manager (PBM), and you can see the medications they cover on the preferred drug list (PDL). WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. PEB Board. Eliquis is indicated for the treatment of DVT [deep vein thrombosis] and PE [pulmonary embolism], and to reduce the. (sex, race, ethnicity, date of birth, preferred language) Family & social history; Raleigh General Hospital has partnered with Syntellis to provide this service. The program also includes identity theft protection services and unlimited access to a legal resource center. Our solutions include health plan benefit administration, care management, pharmacy benefit management, provider networks and casualty claims solutions. Step 4. A formulary is the entire list of covered drugs or medicines selected by the Humana Medicare Employer Plan. Enter ‘Dexcom G6’ in your e-prescribing software and select the quantities and refills for each component. At the same time, at the state house level West Virginia was mostly blue until ten years later in 2010. Prestera accepts WV Medicaid and WV Medicaid Managed Care, Medicare, Self-Pay and Commercial Insurance. Get the Highmark Plan App. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs §5-16-29. Footnote: 3 3 W. Discontinue a discount for 90-day supplies of both generic and preferred brand maintenance drugs. A new program in West Virginia involving the West Virginia University Pharmacy School and the state ' s Public Employees Insurance Agency is designed to address this issue. Drug formularies keep prescription medications affordable while making sure . First, let's look up your account. Companion Life insurance plans and products serve as companions to medical coverage. , medications that are delivered in the physician’s office, clinic, outpatient or home setting) that require prior authorization prior to being provided or. Nitro, WV (25143) health disease screening Previous page of results 1 - 10 of 29 Next page of results. 500 Virginia Street, East, Suite 400. * Exact Sciences estimate based on historical patient billing as of June 30, 2021. A number of benefits are administered on a pre-tax basis. This formulary is accurate as of January 1, 2022 and is subject to change after this date. 500 Virginia Street, East, Suite 400. For more recent information or other questions, please contact Blue Cross MedicareRx SM Customer Service at 1-888-285-2249 or, for TTY users, 711, 8:00 a. Charleston, WV. Legislative findings; purpose; short title. (304) 927-1495. Create an account Everything’s easier when it’s all in one place: Manage your family’s prescriptions; Check order status; Set refill reminders & alerts;. This year, Kanawha County will spend about $8. Digital Physical Therapy. The Georgia program includes a preferred drug list, a maximum allowable cost expansion, tiered copayments for all programs, a provider generic substitution incentive program, and a. A D‑U‑N‑S Number identifies a company's Dun & Bradstreet business credit file, which may include firmographic data (company name, address, phone number, etc. If your patient requires a preferred brand medications, those are listed in alphabetical order. • Increase preferred drug copay for 30-day supply by $10 and for 90-day supply (maintenance only) by $20. ye; is. Plan On Experience - We've been a strong PEIA option since 1981! In fact, PEIA has been our largest, fully-insured account, Available in ALL 55 WV Counties, for the past 38 years. 25 mg $ 1. West Virginia PEIA High Performance Formulary. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs §5-16-29. Charleston, WV. States should seek technical assistance from CMS regarding SPAs that might be necessary. West Virginia Hospital Association Reports Reference Manual 5 May 26, 2020 Payer: The following general payment categories are the preferred method for reporting the source of payment for West Virginia. West Virginia PEIA Drug List Medication Name Copay Tier Quantity Limit Prior Authorization required Step Therapy Specialty Medication ADAPALENE 0. Since 1961, Humana has played a key role in providing quality health care across the United States. A unified voice for independent pharmacies across West Virginia. Your plan must give you a decision within 72 hours of receiving the request. ye; is. Log out. View current opportunities. PEIA – WV PHP of Northern Indiana PHS IPA – Dalton, GA Physician’s Health Plan – IN Piedmont WellStar – GA PPO Next Preferred Health Plan, Inc. Our formularies are developed to meet the members' needs in a clinical cost-effective manner. Periodic evaluations of this list means that medi-. Log In My Account bu. The West Virginia Children’s Health Insurance Program updates the Preferred Drug List (PDL), annually. The Georgia program includes a preferred drug list, a maximum allowable cost expansion, tiered copayments for all programs, a provider generic substitution incentive program, and a. This formulary is accurate as of January 1, 2022 and is subject to change after this date. Movement is medicine, but poor form can dramatically slow–or even reverse–relief. The West Virginia Public Employees Insurance Agency (PEIA) found it was being charged one-percent more for a prescription drug claim than the PBM was paying the pharmacy. The Georgia program includes a preferred drug list, a maximum allowable cost expansion, tiered copayments for all programs, a provider generic substitution incentive program, and a. Close ×. 5 Million+ and is growing steadily. These contracts tend to be of a very complicated nature due to the fact that there are many contingencies involved based on drug ingredient costs, manufacturer rebates and formularies. Customer Service -- PEIA will. Tier Listing. Aetna Medicare Prescription Drug Plan Aetna Medicare Grievance & Appeals PO Box 14579 Lexington, KY 40512. Learn vocabulary, terms, and more with flashcards, games, and other study tools. And if your plan’s coverage ever changes, eHealth can help you make the switch to a plan that meets your needs. Slynd ® has a 24+4 dosing schedule (24 active hormone pills and 4 placebo pills), similar to most estrogen-containing birth control pills. Hours: M-F: 8am - 7:45pm S-S: 8am - 3:45pm. This illegal practice had gone unnoticed for about a. B6 EFFECTIVE 07/01/2021 Version 2021. and Documents. The Health Plan is available in all West Virginia counties. Telehealth Available. • Medications that require temperature control or other special handling/shipping. The board also has proposed raising specialty drug co-pays from $50 to $100 for drugs on a preferred list, and from $100 to $150 for drugs not on the list. Learn more about benefits. Use Cigna for Brokers to access everything you need to manage your business and complete enrollments. The email address and personal information connected to a prescriber’s Master account must be that of the prescriber per requirements of the West Virginia Boards of Pharmacy and Medicine. The drugs which are indicated as "preferred" have been selected for their clinical. The West Virginia Public Employees Insurance Agency (PEIA) found it was being charged one-percent more for a prescription drug claim than the PBM was paying the pharmacy. 3b benzoyl peroxide cleanser Rx & OTC, 10%. Findings from the Delta Dental-commissioned research of 2,000+ U. PEB Board. Some plans may not be available outside the state of West Virginia. The drugs which are indicated as "preferred" have been selected for their clinical significance and overall efficiencies. Active Members and Non-Medicare Retirees Active Members and Non-Medicare retirees with Preferred Provider (PPB) Plans are covered by the following prescription drug benefits: Preferred Drug List Preventive Drug List Full Formulary List Maintenance Drug List Specialty Drug List Diabetes Waived Copays West Virginia Specialty Injecta ble. Members are also reminded that PEIA will be transferring to a new Pharmacy Benefits Manager begin- ning July 1, 2022, with Express Scripts. If you have questions or concerns, call our help line at 1-833-879-5015. The Preferred Drug List (PDL) is a medication list recommended to the Bureau for Medical Services by the Medicaid Pharmaceutical and Therapeutics (P & T) Committee and approved by the Secretary of the Department of Health and Human Resources, as authorized by West Virginia Code §9-5-15. Our primary concern is clinical appropriateness, not drug cost. Unfortunately, for people who are not qualified for Medicare and do not have health insurance, the average cost of cataract surgery is around $3,450 per eye. PEIA – WV PHP of Northern Indiana PHS IPA – Dalton, GA Physician’s Health Plan – IN Piedmont WellStar – GA PPO Next Preferred Health Plan, Inc. Get the Highmark Plan App. WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. For your convenience, there is a complete list of all covered drugs in the plan (a comprehensive formulary). B6 EFFECTIVE 07/01/2021 Version 2021. Perform unlimited advanced searches with our Pro Search service. Eliquis is “indicated to reduce the risk of stroke and systemic embolism in patients with NVAF. gov, click on “Manage My Benefits” or call PEIA to request a Transfer Form at 1-877-676-5573 • Check your tobacco status – update online. Additionally, prescription painkiller overdose deaths often involve benzodiazepines. Primary Diagnosis for use of this drug: (Optional) Diagnosis Code (ICD-9-CM) Secondary Diagnoses of Concern: II. If you're a physician located in Arkansas or if you're a practitioner participating in the Allina Health | Aetna a joint venture network (in Minnesota), we use different vendors to obtain your credentialing data. org if you have questions or need help, including directory related language needs. Therefore, the WVDE and participants must adhere to applicable IRS regulations in. Morgantown, WV 26505 Phone 1-800-847-3859 FAX: 1-800-531-7787. West Virginia State University, through the WV Public Employees Insurance Agency (PEIA), offers a choice of a preferred provider benefit plan (PPB), and managed care plans (HMO) for employees and their dependents health plan coverage. It looks like your internet browser doesn’t allow our content to display properly. Enhanced Plus WV PEIA 11 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Please list all the over-the-counter medications you take: Vitamins: Please list all eye drops: Please list all Drug Allergies: Primary Care Physcian:. Sword's Digital Therapist uses sensor technology to deliver real-time feedback. . imdb star trek picard