Medical specialty drug policies

For all AllWays Health Partners lines of business, certain medical specialty drugs require prior authorization. Search below to find a specific drug.

Prior authorization and infusion drug information

Medical Specialty Drugs that require prior authorization through NovoLogix (NLX)
The medical specialty drugs on this list require prior authorization through NovoLogix (NLX).
NovoLogix customer service: 844-345-2803
Prior authorization form — Medical Specialty Drugs (PDF)

For all other medical specialty drugs, request authorization through AllWays Health Partners.
Infusion Drugs reviewed for Home Infusion Therapy
For AllWays Health Partners members except My Care Family members, certain infusion therapy drugs must be administered in the home setting. View the list (PDF).

Requests for other sites of care will be approved only when it is medically necessary to be performed in a setting other than the home. Prior authorization is required through CVS Caremark^®.
How to submit prior authorizations

How to submit prior authorizations
Please use the MA Standardized Prior Authorization form to submit your request to NovoLogix via phone at 844-345-2803 or fax 844-851-0882.

Call provider services at 855-444-4647.