Calcium is essential for maintaining the necessary level of bone mass to support the structures of the body. The body is constantly using calcium for the heart, blood, muscles and nerves.alcium is essential for maintaining the necessary level of bone mass to support the structures of the body. The body is constantly using calcium for the heart, blood, muscles and nerves.
4 Medical Necessity Prior Authorizations. Before we will cover a Prior Authorization drug listed in this chart, you have to try at least two of the alternative drugs. If there is only one drug available as an alternative, then you just have to try that one. Naprelan, Pennsaid, Sprix, Zipsor, Zorvolex.f you do not have prior authorization, you have three choices: â¢ You or your pharmacist can call your doctor and get a prescription for a different medication that does not need prior authorization. â¢ You can pay full price for your medication.
For Providers: Appeals & Letters of Medical Necessity. Getting patients what they need: Appeals & Letters of Medical Necessity. Learn how to appeal denials, or request prior authorization, for services you prescribe and believe are medically necessary. Medical necessity is a legal, not a medical, definition. This section includes an explanation of medical necessity, directions for writing a letter, and a template for a letter that can be adapted for use appealing medication, equipment, or other service denials. 1  Click here for a brochure explaining how to write a letter of medical necessity.