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From 8 a.m. - 4:30 p.m, Monday — Friday (except holidays), the Nurse Desk is available <br />at NurseDesk@docl.wa.&ov or (360) 725-8733. <br />After normal business hours and during holidays, please call (360) 725-8733, The call is <br />forwarded to the on-call UM Nurse, Emails may not be returned until the next business <br />day. <br />Denials - If the Department denies the authorization for extraordinary medical care, <br />Contractor(s) may appeal the Department's decision by submitting a written request with the <br />supporting documentation to the Department's Utilization Management Office at <br />NurseDesk@docl, a. ov. <br />Pharmaceuticals and Non -Formulary Requests <br />The Department may reimburse for prescription medications that are consistent with the <br />Offender Health Plan and Formulacy. Restricted formulary and :non. -Formulary medication <br />must be pre -authorized by submitting a request to the Department's Utilization Management <br />Office either via email at NurseDes Ca)docl.wa.. ov or fax at 360-586-9060, The non -.formulary <br />request (NM form is available online at: <br />htt -www.doc.wa.. ov fa.mil offe derliEe docs C1.3-091. df . <br />Formulary medications are medically necessary medications that require no further Department <br />approval for use, provided the criteria listed in the De ar.tment's Formulary are met. <br />Preauthorization —Restricted Formulary and non -Formulary medications may be prescribed <br />however, the Department will only authorize these medications if the specific criteria necessary <br />for approval are met. Medications in this category require preauthorization by the <br />Department's Utilization Management Office to be considered for reimbursement. <br />When a Contractor determines that the administration of a restricted Formulary or a non - <br />Formulary medication is medically necessary for the continuous management of a significant <br />medical or mental .health condition, the Contractor should proceed based on his/her <br />professional clinical judgment. However, to be considered for reimbursement, a restricted <br />Formulary/non-Formulary medication request must be approved by the Department's <br />Utilization Management Office as soon as feasible, but not .later. than 3 days after beginning the <br />medication. <br />Denials - If the Department denies the request to use restricted Formulary medication and/or <br />non -Formulary medication, the Contractor may still be reimbursed for medications <br />administered to a Department offender while awaiting the Department's decision on the <br />State of Washington K9561(4) Page 21 of 25 <br />Department of Corrections 158362 <br />