Member Policies - Medical Policies - Alabama
Hemophilia Drug Policies - A Pilot Program for PEEHIP Members Only
Effective February 1, 2019, Blue Cross and Blue Shield of Alabama will implement a pilot program for members with hemophilia covered under Public Education Employee Health Insurance (PEEHIP). This program applies only to PEEHIP members with contract prefix EDU, group number 14000.
As part of this program:
- Hemophilia factor replacement products will require prior authorization according to the medical policies listed below.
- All hemophilia factor replacement products will be required to be dispensed through Option Care Specialty Pharmacy only.
- Prior to each dispense of hemophilia factor replacement products, a dose authorization will be required to ensure appropriate assay management, inventory management, and patient engagement is being provided. Option Care will work with members to complete information required for this authorization.
Fax completed Prior Authorization Request Form to 1-866-606-6021.
Fax prescriptions for hemophilia factor replacement products to Option Care at 1-205-982-9408.
For general program information, call 1-401-344-1021.