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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

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Pharmacy Information

Rationale for Preferred Drug List Decisions
Pharmacy and Therapeutics Process
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BCBSGA 3-Tier Drug List
BCBSGA 3-Tier Drug List-Spanish
BCBSGA 4-Tier Drug List
BCBSGA 4-Tier Drug List-Spanish
Pharmacy Management Procedures
Drugs Requiring PA/Qty Edits/Step Therapy/Dose Optimization
BCBSGA Preferred Drug Lists (HMO, POS, PPO, Condensed, Specialty)
Drug Alerts
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