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Medication Prior Authorization

Table of Contents


Prior Authorization Medication Categories


    Navigation Tips:

  1. Use the table of contents above to jump to the desired medication category, or
  2. Use “CTRL-F” to open a search box into which you can type your search term, or
  3. Scroll through the list below to find the desired medication.
  4. Clicking on the [PDL] link in the medication category header will open a new window with the current Preferred Drug List to allow you to readily search for preferred products within the category.
  5. Clicking on the [TOP] link in the medication category header will bring you back to the Table of Contents at the top of this page.

Prior Authorization Medication Categories


ANALGESICS, NON-OPIOID


ANALGESICS, OPIOID & REVERSAL AGENTS


ANTIPSYCHOTICS


BIOLOGICS


CELL AND GENE THERAPY


CYSTIC FIBROSIS


GASTROINTESTINAL


GENITOURINARY


GROWTH HORMONES


HEMOPHILIA


HORMONES


INFECTIOUS DISEASE


LIPOTROPICS


METABOLIC


OPIOID DEPENDENCE


PULMONARY ARTERIAL HYPERTENSION


RESPIRATORY


SKELETAL MUSCLE RELAXANTS


OTHER


Retired Criteria

 


References for Prescribing Opioids [Top]

Important note: The links provided below are external resources not maintained by the State of AlaskaDepartment of Health. The State of Alaska Department of Health is not responsible for the content contained in any of the links provided below.

Morphine Equivalent Dose Calculator
© Washington State Agency Medical Directors' Group. 2007-2015.
Interagency Guideline on Prescribing Opioids for Pain
Washington State Agency Medical Directors' Group. 3rd Edition, June 2015.
State of Alaska Prescription Drug Monitoring Program (PDMP)
CDC Guideline for Prescribing opioids for Chronic Pain
United States, 2016. Dowell D, Haegerich TM, Chou R. MMWR Recomm Rep 2016;65(No. RR-1):1–49.
Injury Prevention & Control: Opioid Overdose
Centers for Disease Control and Prevention (CDC). Atlanta, GA.
Resources and Tools for Prescribers. Search and Rescue: Empowering Prescribers to Identify Opioid Drug Abuse
© 2016 Partnership for Drug-Free Kids.
ASAM: Provider's Clinical Support System
ASAM: Provider's Clinical Support System - Mentoring

Pharmacy Links [TOP]


Contacts [TOP]

Prior Authorization Staff

Magellan Clinical Call Center
800-331-4475 – phone
888-603-7696 – fax

Magellan Technical Call Center
800-884-3238

HMS (Healthcare Management Solutions, LLC)
907-644-6800, 800-770-5650

Provider Inquiry/Provider Services

HMS (Healthcare Management Solutions, LLC)
907-644-6800, 800-770-5650

Division of Healthcare Services
907-334-2400

Medicaid Pharmacy and Ancillary Services Unit

Drug Utilization Review Program
907-334-2458, 907-334-2425

Preferred Drug List Program
907-334-2458, 907-334-2425