Pharmacy Policies

IEHP Pharmacy Policies

Pharmacy Policies

 
TITLELine of BusinessEffective Date
Discharge Policy (PDF)All lines of businessMarch 1, 2024
Drug Trial and Failure (PDF)All lines of businessDecember 1, 2023
High Daily Morphine Milligram Equivalent (PDF)MedicareDecember 1, 2023
IEHP Drug Prior Authorization Policy (PDF)All lines of businessDecember 1, 2023
Intradialytic Parenteral Nutrition (IDPN) Policy (PDF)All lines of businessMarch 1, 2024
Non-Formulary Drug (PDF)All lines of businessDecember 1, 2023
Non-Sterile Compounded Medication (PDF)All lines of businessDecember 1, 2023
Off-Label Indication Policy (PDF)All lines of businessMarch 1, 2024
Pharmacy Drug Management Program for Pain (PDF)All lines of businessDecember 1, 2023
Quantity Limit Policy (PDF)All lines of businessDecember 1, 2023

Information on this page is current as of March 1, 2024.

 

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