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Across from Aviation Suites at Roseburg Regional Airport
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Formulary Prior Authorization
ATRIO MyAdvantage Active Rx
ATRIO MyAdvantage II Rx
ATRIO MyAdvantage Choice Rx
ATRIO MyAdvantage Elite Rx		 ATRIO MyAdvantage Special Needs Plan (SNP)
ATRIO MyAdvantage Companion
Select Plan Year
2010
Select Plan Year
2010

What is a Prior Authorization?

ATRIO Health Plans requires you [or your physician] to get prior authorization for certain drugs. This means that you will need to get approval from ATRIO Health Plans before you fill your prescriptions. If you don’t get approval, ATRIO Health Plans may not cover the drug.

You can find out if your drug has Prior Authorization requirements by looking in the formulary for your plan. Please refer to the Formulary Information page of atriohp.com to access a formulary for your plan. You can also call Member Services to see if your drug has any restrictions or limits. If your drug has Prior Authorization requirements , 'PA' will be listed to the right of the drug name on the formulary.

You can ask ATRIO Health Plans to make an exception to these restrictions or limits. See the section, “How do I request an exception to the ATRIO Health Plans’ formulary?” in the formulary or refer to the Evidence of Coverage (Member Handbook).

 How do I use the Search Tool?

 Press Continue>>> on the bottom of this page to access the Search function.

To use the Formulary Search Tool, simply select a Plan Year, choose the Prior Authorization Guidelines you want to search, then click Select.  Use the Drug Name drop box to locate your drug, then click Search.  The results will then display below. 

Search Tool Last Updated August 30, 2010



H3814_MKG 50_03
CMS Approved: 10/20/09
Date Last Updated: 7/30/2010