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Prescription Drug Documents

The pharmacy clinical criteria for injectable, infused, or implanted prescription drugs and therapies covered under the medical benefit may be accessed at the following websites for certain Medicare/Medicaid markets. Please refer to provider notification for dates associated with implementation of these documents. As of October 1, 2019, implementation of pharmacy clinical criteria will be complete and drug medical policies and clinical UM guidelines will be retired at that time.

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Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply Healthcare Plans, Inc. depends on contract renewal. H5471_SHPM01K2360 Approved

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