Prior Authorization list for non-formulary and formulary drugs
This document lists medications (by drug/group) that may require prior authorization (PA) and indicates where PA forms should be submitted; it applies to Blue Cross Blue Shield - Kansas members and providers seeking PA information. Coverage/PA requirements may vary by plan and should be verified for individual members.
No material clinical or coverage changes in this revision.
Prior Authorization Coverage Criteria and Drug List
General coverage stance
The following describes the plan-level stance for prior authorization (PA) in this listing.
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