Prior Authorization & Medication Quantity Limits

Medicare

• Regence requires review of certain medications prior to Medicare coverage. View specific medications and their medication coverage requirements.

• Using Medicare-defined rules and guidance, Regence reviews the following medications prior to Medicare coverage:
• bevacizumab (Avastin) -- Effective 4/1/2010
• Botulinum toxin
• Immune globulin
• Cetuximab (Erbitux) -- Effective 2/1/2010
• Infliximab (Remicade)
  
• Bortezomib (Velcade) -- Effective 2/1/2010
• Omalizumab (Xolair)
• Permetrexed (Alimta) -- Effective 4/1/2010
• Rrituximab (Rituxan) -- Effective 4/1/2010