Program Guidelines & Eligibility Workflows
Focus: The "Rules" of the programs, clinical criteria, discharges, and specific client setups.
- Mental Health (MH) Prescribing: Overview
- Cardiometabolic (CMB) Prescribing: Overview
- Self Pay GLP1 or COM with Formulary Customizations: Agent Guide
- Operational Guide: GLP-1 Eligibility, Workflows & Escalations
- Member Discharged from Prescribing: External Prescriber Override
- Behavior Change Pathway and Medication Re-evaluation
- GLP-1 Use Case Overview