Effective February 1, 2023 - Hillcrest HealthCare System is in network for our group, individual and family plans!

Prescription Drug Coverage Determination

A prescription drug coverage determination is used to request a drug formulary exception for medications that are not on CommunityCare's formulary list or drugs that are on CommunityCare's formulary list but require a utilization management decision (prior authorization, quantity limit or step therapy).

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