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Prior Authorization Program

If your medication is on the prior authorization list, your doctor will need to get approval from Blue Cross and Blue Shield before your plan will cover the medication.

If the request is approved, you will pay for your share of the drug, based on your prescription drug benefit plan.

If the request is not approved, you can still fill your prescription but you may have to pay the full amount charged, based on your benefit plan.

Drug Categories

See the examples of drug categories and specific medications for which you may need prior authorization.

Drugs needing prior authorization