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Prior Authorization and Utilization Management

In prescription drug plans, prescription drugs are placed into tiers. The costs for drugs in each tier are different. Tier 1 drugs will cost less than Tier 5 drugs. The tiers are:

  • Tier 1 — Preferred Generic Drugs
  • Tier 2 — Generic Drugs
  • Tier 3 — Preferred Brand Drugs
  • Tier 4 — Non-Preferred Drugs
  • Tier 5 — Specialty Drugs

Prior Authorization

Some drugs require prior approval before they are covered. This is so the plan can best guide the correct use of these drugs. Your doctor can help you get approval. To learn more about prior authorization, select the link below.

Prior Authorization Criteria and Form

Step Therapy

You may be asked to start treatment with a drug that costs less but works just as well, often a generic name drug, instead of starting with a drug that costs more. If the first drug doesn’t work for you, then the plan may cover the higher-priced drug. For more information about step therapy, select the link below.

Step Therapy Criteria and Form

Quantity Limits

There can be limits on how much of a drug you’re allowed, which can include how many pills you get with each prescription. These limits are based on safety guidelines. To learn more about quantity limits, select the link below.

Quantity Limits Exception Form

Drug Utilization Review

Drug utilization reviews help make sure you’re getting safe and proper care. They are very important if you have more than one doctor prescribing your medications. The review is done each time you fill a prescription, as well as on a regular basis. We look for issues such as:

  • Medication errors
  • A drug that may not be needed because you are taking another drug to treat the same medical condition
  • Drugs that are not right for you because of your age or sex
  • Possible harmful interactions between drugs you are taking
  • Drug allergies
  • Dosage errors

If we find a problem during the review, we’ll work with your doctor to fix it.

Medicare Help

Questions About Your Rights?

We’re here to help. Call Customer Service to discuss coverage determinations, appeals and grievances. If you have problems with your Medicare plan coverage, just give us a call.