Prescription Drug Management Programs

Some plans include drug management programs for certain medications. These may include:.

Prior Authorization

You must get approval from the health plan before beginning some medications. Learn more about the Prior Authorization Program.

Quantity Management

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

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.