Provider Notice Issued 12/20/2018

Date:     December 20, 2018
 
To:        All Medical Assistance Providers
 
Re:       Exondys 51 and Spinraza Prior Authorization Criteria Update
 
 
Effective immediately, the Department of Healthcare and Family Services (HFS) has revised both its Exondys 51 and Spinraza prior authorization criteria.  The updated criteria can be found on the HFS Drug Prior Approval Criteria and Forms webpage.
 
 
The Exondys51 and Spinraza prior authorization requests should be submitted on the regular prior authorization form found on the HFS Drug Prior Approval Criteria and Forms webpage.
 
 
Teresa T. Hursey
Medicaid Director
 

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