May 14, 2010

Dear Peach State Provider:

Peach State Health Plan (Peach State) is making some important changes to our Preferred Drug List.  The changes that will be made are described below:

1. Beginning July 1, 2010, Atypical antipsychotic prescriptions will be subject to age limits based on manufacturer and FDA labeling. Physicians must obtain prior authorization in order for patients below the FDA approved age limit to receive the requested atypical antipsychotic drug.
2. Beginning June 14, 2010, Drugs used for the symptomatic relief of cough and colds will be covered only for members under age 21.

If you, as a physician, feel that a patient will require medication therapy outside of the above guidelines, you can submit a prior authorization request to US Script, the pharmacy benefit manager for Peach State Health Plan. The Medication Prior Authorization Request Form is available on the Peach State website, www.pshp.com, under the Provider Forms section. This form can be faxed to US Script at 1-866-399-0929.

Thank you,

Wendy D. Bailey, RPh.              Robyn A. Lorys, Pharm. D.

Director of Pharmacy                 Director of Clinical Pharmacy

Peach State Health Plan             Peach State Health Plan

This entry is filed under Blog, News.