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Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

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LATEST NEWS


Pharmacy Services Clinical Criteria - Avastin, Herceptin, and Xolair
8/7/2020 • Posted by Provider Relations

Fidelis Care may authorize requests for Avastin, Herceptin, and Xolair when appropriate criteria are met for the Child Health Plus (CHP), Medicaid Managed Care, HealthierLife (HARP), Health Exchange, and Essential Plan lines of business. This clinical criteria addresses the use of the following drugs on the medical benefit: Xolair (J2357), Avastin (J9035), and Herceptin (J9355), which are available with prior authorization required, and Perjeta (9306) without prior authorization.


Provider Bulletin Archives

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Social Care Network

Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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