Clinical pharmacy policies
The Washington Health Care Authority (HCA) implemented the Apple Health Single Preferred Drug List (PDL) on January 1, 2018. All managed care plans and the fee-for-service program serving Apple Health clients use this PDL and the associated Clinical Pharmacy Prior Authorization policies.
To view the policies, please refer to the Health Care Authority Apple Health (Medicaid) Drug Coverage Criteria.
Provider tools and resources
- Log in to Availity Essentials
- Launch provider learning hub
- Learn about Availity Essentials
- Prior authorization lookup tool
- Prior authorization requirements
- Claims overview
- Member eligibility and pharmacy overview
- Provider manuals and guides
- Referrals
- Forms
- Training academy
- Pharmacy information
- Electronic data interchange
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