May 21, 2020
Providers must fill out and submit this opioid attestation form for Premera Blue Cross members with a health plan through the School Employees Benefit Board (SEBB) when they:
- begin chronic opioid use
- and/or their daily doses exceed 120 morphine milligram equivalents on or after May 1, 2020
Patients undergoing active cancer treatment, hospice, palliative care, end-of-life, or medically necessary care might be exempt from quantity limits. Expedited authorization codes can be provided in these cases.
For more information including the expedited authorization codes, contact Premera pharmacy services at 888-261-1756.
Refer to these Washington State Health Care Authority opioid policies for more information:
- General opioid agonist analgesics policy
- Methadone policy
- Transmucosal fentanyl policy
- Buprenorphine to treat substance use disorder policy