The programs listed here may not apply to all prescription drug benefit plans. To determine if any specific benefit plan includes the Prior Authorization program, and which drug categories listed below are part of the member's plan, please refer to the member's benefit booklet or call the Pharmacy Program number listed on the back of the member's ID card.

The PA Program includes management of the following medications:

When a member fills or refills a prescription for one of the medications listed above, the prescription claim will reject and the pharmacy will receive a message stating that prior authorization is required. It is then necessary for the physician to complete and submit a BCBSIL pre-authorization request physician fax form. Continued use of the medication will be available is the patient's medical history and current medical condition warrant it.

For information about the prior authorization medical criteria for anabolic steroids and growth hormones, please review medical policies or the Rx clinical criteria.

If you have questions or concerns regarding these programs, please call (800) 285-9426.