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Important NPL updates
The following new-to-market drugs require precertification:
The following drugs will require precertification, including Part B step therapy review, effective January 1, 2020, for Medicare Advantage members only:
We encourage you to submit precertification requests at least two weeks before the scheduled services.
To save time, request precertification electronically — it’s fast and simple. Most precertification requests can be submitted electronically through the provider website or by using your Electronic Medical Record (EMR) system portal.
You can find more information about precertification under the General Information section of the NPL.
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