Our prior authorization program is fundamental to a robust drug plan management strategy. We have specialists including physicians, pharmacists and nurses who have the expertise to make decisions about the drugs that should be included in our prior authorization program.
Plan sponsors can be confident that their plan members have access to the medication they need to be healthy and productive, and that claims for specialty drugs are approved when specific criteria are met.
We review our list of prior authorization drugs on a regular basis to ensure medications included make therapeutic sense.
We have approximately 150 drugs on our prior authorization list. As new drugs enter the market, they’re reviewed to determine if they should be included in our list.
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