Prescription Drugs

Prescription drug prior authorization forms vary depending on the member, the plan and the provider. We require prior authorization for select medications dispensed by pharmacies for most members. For select medications administered in a doctor's office or outpatient facility, we require prior authorization for insured members and for any BlueCross employees and their dependents whom we cover.

Medicare Part D Plans

Prescription Plans

If you are prescribing a medication for a patient with coverage affected by our Drug Management program, you can find the prior authorization and step therapy medical necessity exception forms on the Prescription Plans page.