Expedited Authorization (EA) List update


 

Dear Provider,

 

Effective for claims with dates of service on and after November 1, 2015, Washington Apple Health (Medicaid), administered by the Health Care Authority, will update the Expedited Authorization (EA) list as follows: 

Product

Code

Criteria

Lamictal® IR (lamotrigine IR)

083

Removed

084

Removed

lamotrigine IR

083

Removed

084

Removed

Topamax®/

Topamax®

Sprinkle

(topiramate)

036

Removed

045

Removed

 topiramate

036

Removed

045

Removed

 

For more details, see the agency’s Expedited Authorization (EA) list.