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April 1, 2020 Medical Pharmacy Changes

Mar 09, 2020
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Community Health Options announces the following changes:


The Prior Approval requirements are being removed for the following J-Codes under the Medical Benefit effective April 1, 2020.











mometasone furoate sinus implant





doxorubicin hcl


caffeine citrate



cisplatin, powder or solution


diclofenac sodium





ferric pyrophosphate citrate solution



elltiott's b solution







fondaparinux sodium



vinorelbine tartrate










sulfur hexafluoride lipid microspheres


aminolevulinic hcl, 10% gel



butorphanol tartrate nasal spray


The following J-Codes for oral medications will no longer be covered under the Medical Benefit, and will be covered under the pharmacy benefit only effective April 1, 2020



























 mycophenolate mofetil





 mycophenolic acid






Feel free to include the following information in your own newsletters.

As confirmed cases of COVID-19 continue to be reported, you may be wondering what you can do to avoid exposure to the virus. Until a vaccine is developed, healthcare authorities recommend following the same steps you would take to prevent the spread of other respiratory viruses. That includes:

  • cleaning your hands regularly and thoroughly with an alcohol-based hand rub or washing them with soap and water.
  • Maintaining at least three feet of distance between yourself and anyone who is coughing or sneezing.
  • Refraining from touching your eyes, nose and mouth, where the virus can be transmitted into your body.
  • covering your mouth and nose with your bent elbow or tissue when you cough or sneeze, then disposing of the used tissue immediately.

To avoid misinformation about COVID-19, look to trustworthy sources, such as the CDC, the World Health Organization, and local health departments websites to stay informed.