Neulasta medical step therapy requirements

Effective for dates of service on and after March 1, 2021, certain specialty pharmacy drugs and corresponding codes from current Clinical Criteria will be included in our medical step therapy precertification review process. Step therapy review will apply upon precertification initiation or renewal, in addition to the current medical necessity review of all drugs noted below.

 

Click here for more information about the Neulasta Medical Step Therapy Notice.