Common use of Therapy Clause in Contracts

Therapy. Prior Authorization is required for coverage of enteral, parenteral, or oral nutrition and any related supplies. Additional authorization is required when Member cost-sharing for nutrition and/or supplies exceeds $2,500 in a Calendar Year.

Therapy. Prior Authorization is required for coverage of enteral, parenteral, or oral nutrition and any related supplies. Additional authorization is required when Member cost-sharing for nutrition and/or supplies exceeds that exceed $2,500 in a Calendar Year.