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Provider-Administered Oncology Drugs Requiring Precertification

Precertification through Magellan Rx is required for the provider-administered oncology drugs on the following list when administered in a provider’s office, outpatient facility or home health setting; precertification does not apply to inpatient hospital claims at this time.
Provider-Administered Precertification Drug List 

Find answers to questions about the Drug Wastage Program’s expansion through Magellan Rx.

• Drug Wastage Program Frequently Asked Questions/Answers

How to submit a precertification request to Magellan Rx:

Online
Go to your local Plan's provider portal to initiate pre-service review (Electronic Provider Access) for these services for out-of-area members. Contact your local Blue Plan for more information on how to access this functionality in your local provider portal.

By Phone
Call Magellan Rx at 1-800-424-8270.
Note: Urgent requests must be made to Magellan Rx by phone. Do not submit urgent requests online.