Dear Provider,
Effective for claims with dates of service on and after April 1, 2015, Washington Apple Health (Medicaid), administered by the Health Care Authority, will update the Expedited Authorization (EA) list as follows:
Drug
|
Code
|
Criteria
|
Anoro Ellipta®
|
150
|
Treatment of COPD
|
Daliresp®
|
150
|
Treatment of COPD
|
For more details, see the agency’s Expedited Authorization (EA) list.
|