The Prior Authorization (PA) and Step Therapy (ST) Programs encourage the safe and cost-effective use of medication by allowing coverage when certain conditions are met. Blue Cross and Blue Shield of Illinois (BCBSIL) utilizes a clinical team of physicians and pharmacists to develop and approve the clinical programs and criteria for medications that are appropriate for prior authorization. Reviews of FDA-approved labeling, scientific literature and nationally recognized guidelines are used to build these programs and criteria.

Select the program below for further details of each program.