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Physicians, now process prior authorization requests for your BCBS FEP patients electronically. Click here to get started .
CVS/caremark Prior Authorization (PA) tools are developed to ensure safe, effective and appropriate use of selected drugs. Prior Authorization can ensure proper patient selection, dosage, drug administration and duration of selected drugs.
When a PA is needed for a prescription, the member will be asked to have the physician or authorized agent of the physician contact our Prior Authorization Department to answer criteria questions to determine coverage.
Drugs suitable for PA include those products that are commonly:
Prior Authorization tools are comprised of several different components including:
Prior Authorization tools are comprised of objective criteria that are based on sound clinical evidence. Our PA criteria are: