FEP MEDICAL REVIEW FORMS
Federal Employee Advance Medical Review
The following medications or classes of medications require advance review. Please verify you are selecting the medication in the correct category to ensure you download the correct form. Please be aware that as new products are released and post-marketing information on existing therapies becomes available, changes in this list may occur. Physicians and pharmacy providers will be notified of any such changes via newsletters and direct mailings.
FEP Avastin Medical Review Request FEP to be paid under the Medical benefit for Federal members FEP Hyaluronic Acid Intra-Articular Injection FEP Neulasta Medical Review Request FEP Opdivo PA Request Form FEP Prolia Medical Review Request FEP Testosterone – Injection & Implant Medical Review Request FEP Xgeva Medical Review Request FEP Hyaluronic Acid Derivatives
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