• Authorization Forms
    To ensure that members receive the most appropriate and cost-effective drug therapy, some plans require that additional steps be taken before certain drugs are covered
  • Specialty Pharmacy Authorization Forms
    Use this form for requesting a prior authorization for a medication on the specialty pharmacy list. Specialty pharmacy medications are used in treating rare and/or chronic diseases and are often targeted therapies. We have prior authorizations on some of these medications to ensure that the most appropriate patients are receiving them.
  • Exception Request Form
    Use this form for requesting an exception when a drug authorization form is not available.

Page Modified: May 16, 2012