Step Therapy / Prior Authorization Forms
Prime Therapeutics, our pharmacy benefit manager, conducts all Prior Authorization (PA) and Step Therapy (ST) preauthorization requests from physicians for Blue Cross and Blue Shield of Texas (BCBSTX) members with prescription drug coverage.
Physicians must complete and submit a preauthorization request form for all PA and ST medications. Benefits will continue to be available for medications if warranted by the patient’s medical history and current medical condition. The final decision regarding what medicines should be prescribed, regardless of benefit determination, is a decision between the patient and their doctor.
The links below will take you to the Prime Therapeutics website where you may access the PA and ST preauthorization request physician fax form. If you have questions or concerns regarding these programs, please call Prime Therapeutics at 800-285-9426.
Prime Therapeutics LLC is a pharmacy benefit management company. Blue Cross and Blue Shield of Texas contracts with Prime Therapeutics to provide pharmacy benefit management and other related services. Blue Cross and Blue Shield of Texas, as well as several other independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics LLC.