Drug Management Programs
If your doctor prescribes a medication that is included in our Prior Authorization program, you must get prior approval before your plan will cover your medication. You can find out what these drugs are by viewing our Prior Authorization Drug List.
This program limits the amount of certain drugs a member’s plan will cover. You can see which drugs have quantity limits by viewing our Quantity Management Drug List.
Step Therapy requires members to try cost-effective “First Choice” medications before trying (or "stepping up to") more expensive “Second Choice” medications. Many people find the First Choice medications work just as well for them. View the Step Therapy Drug List.