Prior Authorization

What is Prior Authorization?

For some drugs, your doctor must get approval from us before you fill your prescription. This is called prior authorization. We may not cover the drug if you don't get approval.

Your prescriber must request the prior authorization. Once we receive the request, we will review it to see if it can be approved. If we deny the request, we will tell you why it was denied. We will also tell you how to appeal the decision.

View our Prior Authorization guidelines