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Prescription Drug Listing - Horizon NJ Health
CAPS Brand name drugs @ Needs pre-approval or other limitations apply YO Means “years old” * Limitations apply (quantity, age) Subject to Step Therapy of first-line agents LTC Long-Term Care OTC Over-the-Counter Some members may have their HIV/AIDS medications covered through the AIDS Drug Distribution Program (ADDP).
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Prescription Drug Listing - horizonnjhealth.com
www.horizonnjhealth.comPrescription . Drug Listing. Most prescription and non-prescription (over-the-counter) drugs are covered at no cost, or low cost to you, as long as your doctor orders them and
New Jersey: Early and Periodic Screening, Diagnosis …
www.horizonnjhealth.comAmeriChoice AMERIGROUP Health Net Horizon NJ Health UHP other_____(08/04) New Jersey: Early and Periodic Screening, Diagnosis and Treatment Exam
Quick Reference Guide - horizonnjhealth.com
www.horizonnjhealth.comQuick Reference Guide to the 2017 Provider Administrative Manual ... for Electronic Funds Transfer (EFT). Provider Contacts for MLTSS Services Behavioral Health Services Contacts • Horizon Behavioral Health: 1-800-682-9094, prompt 6, or Edward_Radwanski@HorizonBlue.com.
Dental Provider Manual - horizonnjhealth.com
www.horizonnjhealth.comTransfer – the relinquishing of responsibility for the continuing care of the member by one dentist and the assumption of such responsibility by another dentist. Urgent dental care – care for a specific condition of the oral cavity and or contiguous tissues, which would not
BENEFIT A/ABP B C D - Horizon NJ Health
www.horizonnjhealth.comCovered. Including (but not limited to) CT scans, MRIs, EKGs and X-rays. Durable Medical Equipment (DME) Covered. Emergency Care Covered. Covers emergency department and physician services. Covered. Covers emergency department and physician services. $10 copay Covered. Covers emergency department and physician services. $35 copay
Horizon NJ TotalCare (HMO D-SNP) Provider Quick Reference ...
www.horizonnjhealth.comHorizon NJ TotalCare (HMO D-SNP) Provider Quick Reference Guide. 3 (Continued) Resource Provider Information Contact Information Nurse Line/ Health Care IT Axis Point Health 1-800-711-5952 or Axispointhealth.com Pharmacy Prime Therapeutics Prime Therapeutics Member Services: 1-855-457-1346
Explanation of reason codes and ... - Horizon NJ Health
www.horizonnjhealth.comProducts are provided by Horizon NJ Health. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Both are independent licensees of the Blue Cross and Blue Shield Association.