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Notification Requirements for Inpatient Hospital Admissions Inpatient Financial Penalties Specified Outpatient Diagnostic Tests Notification Requirements for Outpatient Diagnostic Tests Outpatient Financial Penalty Non-certification of Medical Necessity Retrospective Review Medical Case Management Smart Steps, a Disease State Management Program Medical Limitations and Exclusions How The Prescription Drug Program Works Pharmacy Benefit Manager Catalyst Rx Customer Service Co-payments Generic Drugs Preferred Brand Drugs Mail Order Service Prior Authorization Step Therapy Early Refills Walgreens Specialty Pharmacy Program Diabetic Sense Covered Drugs What Drugs Are Not Covered? Coordination of Benefits Retiree Eligibility and Medical Coverage Retiree Eligibility Retiree Enrollment Surviving Spouse Eligibility Surviving Spouse Enrollment Cost of Retiree/Surviving Spouse Coverage Open Enrollment Special Enrollment Periods Resulting From Loss of Coverage Special Enrollment Period as a Result of Gaining a New Dependent Special Enrollment Period for a Dependent Returning to Full-time Student Status Right to Request Documentation Transferring Dependent Coverage Reemployment Changes in Enrollment Status Non-Medicare Eligible Retirees, Surviving Spouses, and Dependents Medicare Coordination Prescription Drug Program Limitations and Exclusions Canceling Coverage Continuing Coverage Under The Plan Active Military Duty

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