If you have any questions about these services or if you would like to discuss options to address your needs, please call our Customer Care Center so we can discuss your options. Contact your PCP to check if a service or medication needs a prior authorization.
Please review your Member Handbook for services requiring prior approval.
Criteria that decisions are based on are available upon request.
B – UFC/ACC is pausing prior authorization requirements this season for Synagis® (palivizumab). Effective November 15, 2022, prior authorization for Syangis is not required. This is effective for the remainder of the 2022-23 RSV season.