Our goal is to help you provide the highest quality care while also reducing prescription costs for your patients.

To do this, we limit certain drugs and drug classes by either quantity, prior authorization or step edits.

For the products and classes listed below, specific criteria must be met for the medication to be considered a covered benefit.

Criteria may be related to any of the following: diagnosis, trial of an alternative product, lab values, height and weight of the patient and other factors.

If you have any questions, please call us toll-free at 800-248-1062 from 7 a.m. to 1 a.m. Monday through Friday and 8 a.m. to 5 p.m. Saturday and Sunday.

Thank you.

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