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Prior Authorization Program Information

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* Important Information on page 1 (**Informaci n importante en la p gina 1) florida blue is an Independent Licensee of the blue Cross and blue Shield Association Prior Authorization Program Information * (Informaci n sobre el Programa Prior Authorization **) Current (Corriente) 4/1/18 Newly marketed prescription medications may not be covered until the Pharmacy & Therapeutics Committee has had an opportunity to review the medication, to determine whether the medication will be covered and if so, which tier will apply based on safety, efficacy and the availability of other products within that class of medications.

Remicade, Renflexis, Rituxan, Simponi Aria, Truxima * Important information on page 1 Florida Blue is an Independent Licensee of the Blue Cross and Blue Shield Association

  Florida, Blue, Aria, Florida blue, Simponi, Simponi aria

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