Drug Determination Policies (DDP)
Our goal is to optimize patient outcomes through the use of medications that have established efficacy and safety data while also providing the greatest value. Certain drugs on the formulary require prior authorization, and will not be approved for payment until the conditions for approval of the drug are met and the authorization has been entered into the system. Below is a list of medications that require prior authorization. Click on the policy to open the criteria required for approval.
Attention - Physicians Health Plan (PHP) is now University of Michigan Health Plan (UM Health Plan). Documents published before this change may still have references to the PHP brand.
