Change In Prior Authorization Requirements for Prescription Opioid Drugs

Effective March 1, 2019, all opioid drug prescriptions will require prior authorization from the prescribing physician.

Every member with an active prescription for opioids will receive a notification of this change so that they can take the necessary steps to ensure there is no interruption in his or her medications. All participating physicians were notified in January.

While we cannot share which of your employees will receive this notification, we wanted to make you aware in case you get questions. If so, please refer employees to call Optima Health Member Services at the number on the back of their member ID card, and one of our representatives will assist with any questions.

Our opioid safety initiative was created in response to the statewide opioid epidemic. The policies and criteria we developed align with industry standards and support safety recommendations and regulations from both the Centers for Disease Control (CDC) and the Virginia Board of Medicine.

If you have any questions, please contact your Optima Health representative.