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Check Our Drug List
Prior Authorization & Step Therapy
Quantity Limits
TransactRx Medicare Vaccines
FLRx Drug Policies
FLRx Drug Policies

The following is a list of our prescription drug policies. If you cannot find a policy for a specific medication, please select the link titled 'Clinical Review Prior Authorization' from the list below.

  • Comment On Our Policies - To ensure that the development of our drug policies occurs through an open and collaborative process, we invite practitioners to review and comment on our policies.  
  • Non-FDA Approved Drugs - Follow this link to view a list of Non-FDA Approved Drugs.
  • Medicaid Managed Care and Child Health Plus Members -
    * Medical benefit (Medical Specialty Drugs) - The Health Plan utilizes Centene for review of Medical Specialty Drugs for Medicaid Managed Care and Child Health Plus members. Follow this link for Centene Medical Specialty Drug policies
    * Pharmacy benefit drugs - Excellus BlueCross BlueShield continues to manage the pharmacy benefit for Medicaid Managed Care and Child Health Plus members. Use the Excellus Pharmacy Management Drug Policies below.


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