Many of our plans have drug management programs for members. Not all benefit plans are the same. Please check your benefit information to find out which programs apply to you.
Most of our members need prior authorization for certain drugs. 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.
This program may make your medication plan easier to follow. It lowers the number of tablets you have to take each day. You can see the drugs included in the program by viewing our Dose 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.