Updated Fax Forms for EmblemHealth Injectable Drug Utilization Management Program
Since launching our new injectable drug utilization management program on June 1, 2012, we’ve updated the fax forms based on provider feedback. These fax forms should be used only for HIP members requiring both prior approval and use of the drug replacement program. Please note that this program applies only to services rendered in New York State.
A new chapter on Medical Injectables will be added to our Provider Manual. For more information, please see our dedicated Web page for this program.