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Delaware
Liver damage restrictions
Fee-For Service (FFS), AmeriHealth Caritas Delaware (AmeriHealth), and Highmark Health Options (Highmark) do not impose liver damage requirements.
Sobriety restrictions
FFS, AmeriHealth and Highmark require screening and counseling for substance abuse.
Prescriber restrictions
FFS, AmeriHealth, and Highmark do not appear to impose prescriber restrictions.
Recommendations
- Remove prior authorizations for preferred agents.
- Remove alcohol and substance use language on patient consent form.
- Maintain parity across FFS and MCOs and transparency regarding hepatitis C coverage criteria.
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