Utilization Management
Prior Authorization and Step Therapy Policies for Commercial and Individual Family Business
| Topical Medications for Inflammatory Rosacea Step Therapy | Policy |
| Topical Podofilox Products Step Therapy Policy | Policy |
| Topical Products - Vtama and Zoryve 0.3% Cream ST | Policy |
| Topical Products - Zoryve Foam ST | Policy |
| Topical Retinoids - Aklief PA Policy | Policy |
| Topical Retinoids - Panretin PA Policy | Policy |
| Topical Retinoids - Tazarotene Products PA Policy | Policy |
| Topical Retinoids - Tretinoin Products PA Policy | Policy |
| Topical Vitamin D Analogs Step Therapy Policy | Policy |
| Vecamyl PA Policy | Policy |
| Veregen PA Policy | Policy |
| Vesicular Monoamine Transporter Type 2 Inhibitors - Austedo PA Policy | Policy |
| Vesicular Monoamine Transporter Type 2 Inhibitors - Ingrezza PA Policy | Policy |
| Vesicular Monoamine Transporter Type 2 Inhibitors - Tetrabenazine PA Policy | Policy |
| Vesicular Monoamine Transporter Type 2 Inhibitors PSM Policy | Policy |
| Vijoice PA | Policy |
| Vitamin B12 (Cyanocobalamin) Products Step Therapy Policy | Policy |
| Vitamin D Analog (Oral) Step Therapy Policy | Policy |
| Wakefulness-Promoting Agents - Armodafinil, Modafinil PA with Step Therapy Policy | Policy |
| Wakefulness-Promoting Agents - Sunosi PA Policy with Step Therapy | Policy |
| Wakefulness-Promoting Agents - Wakix PA Policy with Step Therapy | Policy |
| Weight Loss - Glucagon-Like Peptide - 1 Agonists PA Policy | Policy |
| Weight Loss - Glucagon-Like Peptide-1 Agonists PA | Policy |
| Weight Loss - Other Appetite Suppressants and Orlistat PA | Policy |
| Zokinvy PA Policy | Policy |