Peach State Health Plan Blog

Dear Peach State Provider:

Peach State Health Plan is making some important changes to our Preferred Drug List, beginning June 14, 2010.  The changes that will be made are described below:

1. Drugs used for the symptomatic relief of cough and colds will only be covered 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 in 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.

Please click the link below to review the Provider Watch.

Provider Watch – Pharmacy Bulletin – Important Updates (PDF)

This entry is filed under Blog, Media, News.

Please click the link below to read the blast fax from the American Academy of Pediatrics – Georgia Chapter.

Flu Vaccine Survey (PDF)

This entry is filed under Blog.

Please click the link below to read the blast fax from the American Academy of Pediatrics -Georgia Chapter.

Recommendation to Temporarily suspend usage of Rotarix Vaccine (PDF)

This entry is filed under Blog.

Dear Peach State Provider:

Peach State Health Plan (Peach State) is making some important changes to our Preferred Drug List, beginning April 1, 2010. The changes that will be made are described below:

1. Patients will only be allowed to receive one long acting stimulant and two short acting stimulants per month without prior authorization.
2. The refill threshold for controlled substances, such as narcotic analgesics, benzodiazepines, stimulants, and amphetamines, will be changed from 85% to 90%.

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.