STAR Kids Prior Authorization Forms
- Acthar
- Agents for Gaucher's Disease
- Alinia
- Aliskiren-containing Agents
- Allergen extracts
- Altabax
- Amitiza
- Androgenic Agents
- Antiemetics
- Anti-Influenza Agents
- Binge Eating Disorder
- CGRP Antagonists
- Cablivi
- Carisoprodol
- Chloroquine/Hydroxychloroquine
- CNS Stimulants
- Colchicine Agents
- Colcrys
- Compound Medications
- Cytokine and CAM Antagonists
- DPP-4 Inhibitors
- Dispensing Limit Override
- Dupixent
- Elidel/Protopic (Topical Immunomodulators)
- Emflaza
- Enzymes
- Erythropoiesis-Stimulating Agents
- Flexeril/amrix
- General Prior Authorization
- GI Motility Agents
- GLP-1 Receptor Agonists
- Glucose Agents
- Growth Hormone
- Hepatitis C
- Hereditary Angioedema
- Imiquimod
- Increlex
- Injectable PAH
- Kalydeco Orkambi Symdeko
- Lidoderm Patches
- Lovaza Vascepa
- Makena
- Migraine Agents
- Morphine Equivalent Dose Override
- Non-Preferred Glucose Test Strips Disks Meters
- Opioid Benzodiazepine Pain Therapy
- Opioid Policy
- Oxycodone ER
- PDE5-Inhibitors
- Proprotein Convertase Subtilisin Kexin Type 9 (PCSK9) Inhibitors
- Propylthiouracil
- Pulmonary Hypertension Agents
- Ranexa
- Sickle Cell
- Sildenafil Tadalafil
- Synagis
- Suboxone
- Symlin
- Trikafta
- Triptan Dihydroergotamine Agents
- VMAT2 Inhibitors
- Xifaxan
- Zelboraf