We’ve laid out some important details that can help guide you through the prescription process.
It’s important to us that you have all the right resources and information you need when helping our members get effective treatment. To make the prescription process easier for you and members try searching our drug list, scanning drug list updates, reading our outpatient pharmacy disclosure, and finding how members can get prescriptions delivered by mail.
We are temporarily relaxing early refill limits on many maintenance medications at in-network pharmacies. Your patients can get early refills of up to a 90-day supply, as long as they have
pharmacy benefits through Sharp Health Plan.
Note: This does not apply to refills of controlled substances. A new prescription is required to provide an emergency supply of a controlled substance.
We are automatically extending prior authorizations for outpatient drugs covered under the pharmacy benefit, when clinically appropriate. This applies to all prior authorizations set to expire between Mar. 23 and Jun. 30, 2020. Note: This does not apply
to controlled substances for which an automatic extension may not be clinically appropriate.
Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19.
If you would like to prescribe a medication that requires authorization, you’ll need to fill out the prior authorization request form and give us any relevant support or documentation. Once the form is complete, we can review your request.
Our drug list includes many commonly-prescribed medications. When a generic equivalent is available, it must be dispensed instead of the brand-name drug unless a doctor specifies otherwise. Use our helpful online search tool to find covered medications.
Sharp Health Plan is committed to preventing overuse and protecting patient safety. Get more information and learn how program aims to reduce the likelihood that members receive unsafe levels of opioid medications.
Some specialty medications like Xeloda, Truvada and Tecfidera are only available through our partner, CVS Specialty™. A full listing of medications only available through specialty pharmacy is listed in your health plan drug list.
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