Opioid APPROVED PA Criteria April 2018 – (May 25, 2018)
Opioid APPROVED PA Criteria April 2018.pdf
APPROVED PA CRITERIA
Initial Approval: January 10, 2018
Revised Dates: April 11, 2018
CRITERIA FOR PRIOR AUTHORIZATION
Opioid Products Indicated for Pain Management
If you have any questions regarding these guidelines, please contact:
Annette Grant, RPh.
Pharmacy Program Manager
Division of Health Care Finance
Kansas Department of Health and Environment
900 SW Jackson St., Suite 900-N
Topeka, KS 66612
Phone: (785) 296-8406
Fax: (785) 296-4813
Annette.Grant@ks.gov