Cigna Announces New Rule Regarding Coverage for Compounded Medications Effective October 1, 2014
www.cigna.com/pdf/compounded-drugs.pdf
13 hours ago - Rx10022 Compounded Medications Coverage Info_Posted Online 09/14 ... compounding pharmacist combines, mixes or changes the ingredients of a drug to ...
Prior authorization provides a responsible mechanism for medically necessary compounds to be covered, at the same time weeding out unnecessary exposures to drugs that may be unsafe or ineffective.
ReplyDeletePass thru coverage for unapproved drugs without prior authorization carries an added burden of risk for beneficiaries--that risk should be actively accessed and judged "tolerable" given alternative therapies, anticipated benefits, medical necessity and urgency.