Pharmacy - Removal of PA for Pletal (Cilostazol) Tabs


Dear Provider:


Effective for claims with dates of service on and after November 11, 2015, Washington Apple Health (Medicaid) administered by the Health Care Authority (the Agency) no longer requires prior authorization for Pletal Tabs (Cilostazol Tabs) when billing for pharmacy services.

For additional billing information please see the current Prescription Drug Program Provider Guide at: