2009 H1N1 flu (sometimes called “swine flu”) is a new influenza virus that is spreading worldwide. Because this virus is very different from current seasonal influenza viruses, many people will not have protective immunity against it, and the seasonal flu vaccine will not protect against it.
Influenza is unpredictable, but this flu season could be worse than recent years because of the 2009 H1N1 virus. CDC is preparing for an early flu season and expects both 2009 H1N1 flu and seasonal flu to cause illness, hospital stays and deaths this season. Click here for more up-to-date information.
The management of outpatient prescription drugs is an integral part of the medical management program to improve the health and well-being of our members.
Prescriber and member involvement is critical to the success of the pharmacy program. To help your patient get the most out of their pharmacy benefit please be cognizant of the following guidelines when prescribing:
- Abbreviated Preferred Drug List
- Preferred Drug List
- Additions and Exceptions to the Preferred Drug List
- Generic Medications
- Injectable, Infusion Services
- Coverage Limitations
- Step Therapy Programs
- Over the Counter (OTC) Medications
- Pharmacy Lock- In Program
- Patient Co-payments
- Drug Evaluation Review Process
- Pharmacy
- Management- Network Improvement Program
To get a step-by-step overview see our Pharmacy Services Guide. For detailed information see our Pharmacy Service Handbook.
Pharmacy Forms
Abbott Monitor Form
AccuChek Meter FormCoverage Determination Request Form
Drug Evaluation Review for Orals-Solid Form
Enteral Nutritional Supplement Form
Injectable-Infusion Form
Synagis Order Form


