Quartz Health Solutions is committed to reducing the inappropriate use of prescription opioids. Excessive use of opioids can lead to addiction, overdose, and death.
New restrictions will be in place effective 8/1/2018 for Quartz (fully-insured) commercial members. These restrictions will limit: >
‡ Prior Authorization criteria is as follows –
– OR –
ALL of the following apply –
Effective 3/1/18 – Prior Authorization is required for those less than 50 years of age. Prior Authorization is NOT required for those age 50 and older.
Requirement for coverage - The clinic-injectable SHINGRIX vaccine must be administered in the Physician's office. Applies to all lines of business except Medicare Advantage (Senior Preferred)
Note: If Zostavax is chosen as the Zoster vaccine, a prior authorization is needed for those age < 60.
Effective 2/1/18 – Prior authorization is required. Applies to all lines of business except Senior Preferred
Medications, procedures and services are regularly added to the Prior Authorization list. Be sure to check it often.