Prescriptions that Require Pre-Authorization for Commercial Members for 2007
Certain Prescription Drugs require prior coverage authorization. For instructions on how to obtain prior authorization, please contact Member Services at 383-3311 Monday through Friday, 8 a.m. to 5 p.m.
- Regranex
- Lamisil (tablets only)
- Sporanox
- Antifungal treatment for conditions other than onychomycosis for greater than 2 month's duration.
- Rebetron
- All Injectables (except insulin vials, Apokyn, EpiPen, EpiPen Jr, Glucagon, Heparin, Lovenox, Lupron)
- Miscellaneous Anticonvulsants
- Tracleer
- Vfend
- Provigil
- Revatio
- Suboxone
- Subutex
- Oxsoralen
- Ventavis
- Xolair
- Xyrem
- Byetta
- Symlin
- Increlex
- Orencia
- Fentora
- Actiq
- Exubera
- Qualaquin