Medication Prior Authorization Criteria
Effective March 1, 2019, Highmark Health Options will begin requiring prior authorization for antipsychotic medications for members younger than 18 years of age.
• Patients who are currently receiving antipsychotic therapy will be provided three months of provisional transition-in-care authorization.
• Patients who are new to antipsychotic therapy will require prior authorization upon initiation.
The new criteria and the prior authorization request form is here.
For questions regarding this notice, you may contact us at 1-844-325-6251.