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The PDL suggests which medications call for prior authorization. Most specialty medications usually are not over the PDL and need prior authorization as explained down below.

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CountyCare will work with CVS Caremark to administer pharmacy Gains, including the pharmacy prior authorization course of action. CountyCare involves prior authorization for find drugs over the PDL in addition to ALL medicine not about the PDL.

The Rhode Island-dependent healthcare behemoth proceeds to wrangle with headwinds such as larger-than-expected healthcare utilization, a pharmacist strike and misplaced bonus payments in Medicare Advantage.

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