This list includes drugs that were added to or deleted from the formulary. This will help you talk with your doctor about the drugs you take and how you might save money.
Some drugs require prior approval, or prior authorization of coverage, before we will cover their cost. This is the list of drugs that require prior authorization. Your doctor needs to check this list and get approval before prescribing these drugs.
These documents are specific to each drug that requires prior authorization. Each document lists the information we need before we will approve coverage.
Stepped therapy means that certain “steps” or actions need to be followed for some drugs to be covered. This document lists the drugs that require stepped therapy. Your doctor needs to check this list and follow the steps before prescribing these drugs.
For some drugs, we limit the number of pills or units that are covered by the benefit plan within a certain period of time. This list includes drugs that have quantity limits. It will help you understand how fills and refills work.
