Provider News - Archimedes
New Biologic Drug Management Program for OhioHealthy Preferred Network Providers
OhioHealth has partnered with Archimedes, a healthcare solutions company, to ensure that those using the OhioHealthy Preferred Network (OhioHealth associates and their dependents) are receiving quality specialty care. As part of this endeavor, Archimedes is completing a review of specialty medications to confirm covered members receive the appropriate medications.
Biological products are the fastest-growing class of therapeutic products in the United States. New drugs to market will be subject to a 12-month benefit exclusion period. Additionally, all specialty biologics administered under the medical benefit (provider office, home infusion and outpatient facility) are subject to prior authorization.
Existing prior authorizations for patients using the OhioHealthy Preferred Network will term on February 28, 2021. If the medication is still required, a new prior authorization will need to be submitted. Prior authorization requests must be sent at least seven (7) calendar days prior to a scheduled patient/member treatment.
To submit a new prior authorization request, please follow these steps:
- Go to Drug Authorization Forms.
- Choose the medication that needs prior authorization.
- Complete the Medical-Pharmacy Prior Authorization form.
- Return all documents to the fax number listed at the top of the form.
OhioHealth appreciates your partnership in helping maintain an affordable and sustainable benefit for its associates.