Pharmacy Policies

IEHP Pharmacy Policies

Pharmacy Policies

 
TITLELine of BusinessEffective Date
Discharge Policy (PDF)All lines of businessMarch 1, 2025
Drug Trial and Failure (PDF)All lines of businessJanuary 1, 2026
Drug and Related Services Prior Authorization Policy (PDF)All lines of businessJanuary 1, 2026
Intradialytic Parenteral Nutrition (IDPN) Policy (PDF)All lines of businessMarch 1, 2025
Off-Label Indication Policy (PDF)All lines of businessMarch 1, 2025
Quantity Limit Policy (PDF)All lines of businessJanuary 1, 2026

Information on this page is current as of January 1, 2026.

 

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