Prescription Drug Management Programs
Some plans include drug management programs for certain medications. These may include:.
You must get approval from the health plan before beginning some medications. Learn more about the Prior Authorization Program.
You can only get a certain quantity of some drugs within a given time frame. There are some exceptions, with prior authorization. Learn more about the Quantity Management Program.
Step therapy requires you to try more cost-effective options first. There are some exceptions, with prior authorization. Learn more about the Step Therapy Program.
Please refer to your health plan benefits document, coverage manual or summary plan description for additional details applicable to your specific plan.