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In CY2026, prior authorization is required for members aged 65 and older who accumulate more than 30 cumulative days supply of specified medications with anticholinergic effects: The Use of Multiple Anticholinergic (ACH) Medications in Older Adults (POLY-ACH) Measure is in place to monitor performance on the percentage of Medicare members aged 65 and older who have concurrent use of multiple Anticholinergic medications, each with 2 or more fills

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