Prior Authorization

To promote the most appropriate utilization, selected high-risk or high-cost drugs require prior authorization to be eligible for coverage. The prior authorization criteria are approved by the Community Health Plan Pharmacy and Therapeutics Committee.

Current drugs that require prior authorization for all members are:

Pharmacy Programs

Community Health Plan of Washington was established in 1992 by a network of community health centers across Washington State. We provide coverage for people in 39 counties (see our clinic site list). Our members get services from more than 540 primary care clinics, 2,365 primary care physicians, 13,571 specialists, and 100 hospitals.

At no charge, you may get this information in the language you need, in larger print, or orally. Please call 1-800-440-1561.

Usted puede obtener esta información en el idioma que necesita, en letra grande o en forma verbal, sin costo alguno. Por favor llame al 1-800-440-1561.

您可以免費獲取這些資訊。您可以要求將這些資訊翻譯成您所需的語言、印刷成較大號字體的印刷品，或用口頭傳達給您。請致電 1-800-440-1561

。 Вы можете получить эту информацию бесплатно на нужном вам языке, более крупным шрифтом или устно. Позвоните, пожалуйста, по телефону 1-800-440-1561.

Quyù vò coù theå nhaän thoâng tin naøy mieãn phí baèng ngoân ngöõ cuûa quyù vò, baèng chöõ in lôùn hôn, hoaëc baèng caùch noùi mieäng. Xin goïi 1-800-440-1561.