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Medical and Pharmacy Policies and Guidelines | Florida Blue

    https://www.floridablue.com/providers/medical-pharmacy-info
    Medical & Pharmacy Policies and Guidelines. Responsible Quantity is an initiative to ensure that prescription drug coverage reflects drug manufacturers' and FDA dosing guidelines. Authorization requests for use of over 4,000 mg of acetaminophen per day …

Florida Blue Medication Guide Updates January 2023

    https://www.bcbsfl.com/DocumentLibrary/Providers/Content/MedGuideUpdates.pdf
    Title: Florida Blue Medication Guide Updates January 2023 Author: Prime Therapeutics Created Date: 12/9/2022 7:30:46 AM

Billing Guidelines Section - Florida Blue

    https://www.floridablue.com/docview/Billing-Guidelines
    Billing guidelines . This section of the Manual contains billing guidelines for various provider types. It was developed with consideration of the latest coding methodologies …

Florida Health Insurance Plans | Florida Blue

    https://www.bcbsfl.com/DocumentLibrary/Providers/Content/MedGuide.pdf
    Florida Health Insurance Plans | Florida Blue

Subject: Epidural Injections - Florida Blue

    http://mcgs.bcbsfl.com/MCG?mcgId=02-61000-31&pv=false
    Related Guidelines Other References Guideline Updates This medical coverage guideline is not an authorization, certification, explanation of benefits, or a guarantee of payment, …

Subject: Treatments for Varicose Veins/Venous Insufficiency

    http://mcgs.bcbsfl.com/MCG?mcgId=02-33000-31&pv=false
    THIS MEDICAL COVERAGE GUIDELINE APPLIES TO ALL LINES OF BUSINESS UNLESS OTHERWISE NOTED IN THE PROGRAM EXCEPTIONS …

Subject: Hormone Replacement - mcgs.bcbsfl.com

    https://mcgs.bcbsfl.com/MCG?mcgId=09-J1000-24&pv=false
    5. Dohle GR, Arver S, Bettocchi C, et al. Guidelines on male hypogonadism. European Association of Urology; 2012. COMMITTEE APPROVAL: This Medical Coverage …

Subject: Dostarlimab-gxly (Jemperli) - mcgs.bcbsfl.com

    https://mcgs.bcbsfl.com/MCG?mcgId=09-J4000-03&pv=false
    This Medical Coverage Guideline (MCG) was approved by the Florida Blue Pharmacy Policy Committee on 10/12/22. GUIDELINE UPDATE INFORMATION: 09/15/21 New …

Subject: Non-Covered Services - Florida Blue

    http://mcgs.bcbsfl.com/MCG?mcgId=09-A0000-00&pv=false
    RENDERED. THIS MEDICAL COVERAGE GUIDELINE APPLIES TO ALL LINES OF BUSINESS UNLESS OTHERWISE NOTED IN THE PROGRAM EXCEPTIONS SECTION. Position Statement Billing/Coding Reimbursement Program Exceptions Definitions Related Guidelines Other References Updates DESCRIPTION: The codes listed below in the …

Subject: Bio-Engineered Skin and Soft Tissue Substitutes; …

    http://mcgs.bcbsfl.com/MCG?mcgId=02-10000-11&pv=false
    THIS MEDICAL COVERAGE GUIDELINE APPLIES TO ALL LINES OF BUSINESS UNLESS OTHERWISE NOTED IN THE PROGRAM EXCEPTIONS …



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