Answers to frequently asked questions relating the Special Authorization process.
This claim form is to be completed when an individual is applying for a drug that requires clinical review prior to approval.
List of all drugs that may be classified as “Requires Special Authorization” by the plan sponsor under our Managed Plans, including specialty medication.
This claim form is to be completed when an individual is applying for a drug that requires clinical review prior to approval.
List of Specialty drugs only. These drugs may be classified as “Requires Special Authorization” by the plan sponsor – plan members may download this list and provide it to their Healthcare Providers.
This claim form is to be completed when an individual is applying for a drug that requires clinical review prior to approval.
This claim form should be completed when an individual whose plan design includes mandatory generic is applying for coverage for the full cost of the brand name drug.
This form is to be completed when an individual is accessing the coverage navigation service for assistance applying to government and/or manufacturer sponsored programs for Specialty Drug coverage.