Drug Management Programs
The goal of our drug management programs is to provide you with a wide variety of prescription medications that are safe, effective, and affordable. The programs below help ensure that you have access to the medications you need while keeping costs down and adhering to the recommendations of the doctors, pharmacists, and other experts who manage our pharmacy programs.
Opioids are subject to daily quantity limits. You may also need prior authorization for certain situations.
This list shows prescription medications that require your doctor to obtain authorization from us.
This program limits the amount of certain drugs a member’s plan will cover.
Step Therapy requires members to try cost-effective “First Choice” medications before trying (or "stepping up to") more expensive “Second Choice” medications.