Skip to main content

Pharmacy Clinical Guidelines

Telephone: 855-672-2755

Fax: Non-Specialty: 1-844-814-2258 |  Specialty: 1-844-814-2259

CoverMyMeds

Go to Cover My Meds web site

Criteria Effective Dates

Choose a tab below to select Pharmacy Clinical Guidelines or Exceptions

Pharmacy Clinical Guidelines

Select the starting letter of the medication or condition to find the desired form.

A

Glossary list of letter A

S

Glossary list of letter S

T

Glossary list of letter T

Exceptions

Select the starting letter of the medication or condition to find the desired form.

B

Glossary list of letter B

D

Glossary list of letter D

E

Glossary list of letter E

F

Glossary list of letter F

H

Glossary list of letter H

I

Glossary list of letter I

J

Glossary list of letter J

K

Glossary list of letter K

L

Glossary list of letter L

M

Glossary list of letter M

N

Glossary list of letter N

O

Glossary list of letter O

Q

Glossary list of letter Q

R

Glossary list of letter R

S

Glossary list of letter S

V

Glossary list of letter V

W

Glossary list of letter W

X

Glossary list of letter X

Y

Glossary list of letter Y

Z

Glossary list of letter Z