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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.
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Pre-Service Medical Benefit Review for Specialty Drugs
Pre-determinations for Zometa and Neumega will not be required as previously announced. No review is required.
**If you are completing one of these forms for a SHBP member, please fax the form to
Filling Specialty Drug Requests Online - How To Guide
Specialty pharmacy management program available online through AIM
Pre-Determination of Medical Benefits Forms
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