CommunityCare
Formulary Resources

Senior Health Plan HMO
Formulary Changes and Utilization Management Criteria

2018 Senior Health Plan Utilization Management Criteria Documents
  Formulary Changes Prior Authorization Quantity Limits Step Therapy
JanuaryN/AJanuary 2018 Prior Authorization CriteriaJanuary 2018 Quantity LimitJanuary 2018 Step Therapy Criteria
MarchMarch 2018 Formulary ChangesMarch 2018 Prior Authorization CriteriaMarch 2018 Quantity LimitsMarch 2018 Step Therapy Criteria
AprilApril 2018 Formulary ChangesApril 2018 Prior Authorization CriteriaApril 2018 Quantity Level LimitsApril 2018 Step Therapy Criteria
MayMay 2018 Formulary ChangesMay 2018 Prior Authorization CriteriaMay 2018 Quantity Level LimitsMay 2018 Step Therapy Criteria
JuneJune 2018 Formulary ChangesJune 2018 Prior Authorization CriteriaJune 2018 Quantity Level LimitsJune 2018 Step Therapy Criteria
JulyJuly 2018 Formulary ChangesJuly 2018 Prior Authorization CriteriaJuly 2018 Quantity Level LimitsJuly 2018 Step Therapy Criteria
AugustAugust 2018 Formulary ChangesAugust 2018 Prior Authorization CriteriaAugust 2018 Quantity Level LimitsAugust 2018 Step Therapy Criteria
SeptemberSeptember 2018 Formulary ChangesSeptember 2018 Prior Authorization CriteriaSeptember 2018 Quantity Level LimitsSeptember 2018 Step Therapy Criteria
OctoberOctober 2018 Formulary ChangesOctober 2018 Prior Authorization CriteriaOctober 2018 Quantity Level LimitsOctober 2018 Step Therapy Criteria
NovemberNovember 2018 Formulary ChangesNovember 2018 Prior Authorization CriteriaNovember 2018 Quantity Level LimitsNovember 2018 Step Therapy Criteria


Updated: 11/5/2018
H3755_2018_SHP_Web Links
CMS Approval Date: 10/17/2017