Drug Policies

Certain drugs may need prior authorization or have service limits.

To find out if prior authorization is needed, use the prior authorization code lookup tool.

 

General Drugs Policies

Some drugs might need a review, but don’t have special rules or forms. The file below can be used if you don’t see a form listed for your specific drug.

Some drugs follow rules and limits known as step therapy that will first have you try another drug before covering the one asked for.

 

Drug Specific Policies

Some drugs have specific coverage rules. For the drugs listed below, please see the specific rules and forms.

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an association of independent Blue Cross Blue Shield Plans.