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Preauthorization List Updates

Switch to:

Preauthorization List Updates

01/18/2024

The following preauthorization lists have been updated. See revision histories for the changes and effective dates.

GHI PPO City of New York Preauthorization List.
EmblemHealth/ConnectiCare Home Infusion Therapy Drug Preauthorization List.
The Pharmacy Medical Preauthorization Lists for EmblemHealth and ConnectiCare.

JP 64417 01/2024

Provider Update

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Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.