WHA
  • Our Plans
    Shop Plans
    • Individual or Family
    • Medicare Advantage
    • Small Business
    • Large Business
    Compare Plans
    • Covered by My Employer
    • Agent or Broker
    • Enrollment Counselor
  • Search Doctors
    Tools
    • Find a Doctor
    • View My Doctor
    • Change My Doctor
    Resources
    • Provider Network
    • Advantage Referral
    • Partners in Care
    • Virtual Visits
    • Connect with My Doctor
    • Timely Access to Care
    • Authorization FAQs
    • Verification Process
  • Pharmacy
    Prescription Coverage
    • Pharmacy Overview
    • Pharmaceutical Management
    • Manage My Prescriptions
  • WHA Provider
    Tools
    • Electronic Solutions
    • Policies and Guidelines
    • Pharmacy Management
    • Health Promotion & Disease Management
    • Quality & Safety
    • Member & Provider Rights
    • Language Assistance Program
    • Provider Communications
    • Forms & Downloads
  • Health & Wellness
    Healthy Living
    • Health & Wellness Overview
    • Adolescent Wellness
    • Diabetes Wellness
    • Disease Management
    • Heart Health
    • Infant Wellness
    • Men's Wellness
    • Mental Health
    • Preventive Health
    • Women's Wellness
    Resources
    • Gym Discounts
    • Rights & Responsibilities
    • MyWHA Wellness
    • Nurse Advice
    • Recipe Center
    • Stop Smoking
    • Wellness Classes
    • CommunityFIT
  • Other Sites
    • Member
    • Medicare
    • Employer
    • Broker
    • Provider
  • Login | Register
Learn More: Contact Us
CALL
 1
.888.
5
6
3
.
22
5
0
EMAIL WESTERN HEALTH
FREQUENTLY ASKED QUESTIONS
Pharmacy Prior Authorization Criteria banner image

Pharmacy Prior Authorization Criteria

  1. Home page
  2. /Providers
  3. /Pharmacy Prior Authorization Criteria

  • Premium/FEHB
  • EHB
  • FEHB
Showing 281 - 295 of 295 results
Sort By A-Z
  • A-Z
  • Z-A
Guideline Drug Name
Xenazine (tetrabenazine) Xenazine (tetrabenazine)
Xiaflex (collagenase clostridium histolyticum) Xiaflex (collagenase clostridium histolyticum)
Xifaxan (rifaximin) Xifaxan (rifaximin)
Xiidra (lifitegrast) Xiidra (lifitegrast)
Xolair (omalizumab) Xolair (omalizumab)
Xolremdi (mavorixafor) Xolremdi (mavorixafor)
Xtandi (enzalutamide) Xtandi (enzalutamide)
Yonsa (abiraterone acetate) - PA, NF Yonsa (abiraterone acetate)
Zelboraf (vemurafenib) Zelboraf (vemurafenib)
Zepatier (elbasvir/grazoprevir) Zepatier (elbasvir/grazoprevir)
Zokinvy (lonafarnib) Zokinvy (lonafarnib)
Zolinza (vorinostat) Zolinza (vorinostat)
Zydelig (idelalisib) Zydelig (idelalisib)
Zykadia (ceritinib) Zykadia (ceritinib)
Zytiga (abiraterone acetate) - PA, NF Zytiga (abiraterone acetate)
  • First
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
15 Total Pages

Provider Tools

Electronic Solutions Policies and Guidelines Pharmacy Management Health Promotion / Disease Management Quality & Safety Member & Provider Rights Language Assistance Program Provider Communications Forms & Downloads

Quick Links

Prior Auth Request Form
Health and Wellness HEALTHY LIVING

WHA members have access to a wealth of resources including a wellness assessment, gym discounts, wellness classes and support groups, health education materials, and much more.



Member Resources
  • Getting Started
  • Find a Doctor
  • Mobile App
  • Register for MyWHA
Quick Help
  • Contact Us
  • FAQs
  • Send us Feedback
  • Shop Plans
About
  • About WHA
  • Blog
  • Giving Back
  • Careers
Other Sites
  • Members
  • Broker
  • CalPERS
  • Employers
  • Providers
  • GRIEVANCE FORM
  • Legal
  • Privacy
  • Terms of Use
  • Non-Discrimination
  • العربية
  • 中文
  • 日本語
  • Hmong
  • 한국어
  • русский
  • Tagalog
  • այերեն
  • ارسی
  • Khmer
  • Lao
  • Español
  • Tiếng Việt
  • ภาษาไทย
  • हिंदी
  • ខ្មែរ

Copyright © 2025 Western Health Advantage. All Rights Reserved.