Prior Authorization Drug List
This document lists drugs and supplies that require prior authorization from Blue KC for coverage; it affects providers and pharmacy/benefit management staff who submit prior authorization requests for members under Blue KC plans.
No material clinical or coverage changes in this revision.
Items Requiring Prior Authorization
Items Requiring Prior Authorization
The document lists drugs and supplies that require prior authorization. No approval criteria, limitations, or exceptions are provided in this policy.
Examples (partial list)
- Abiraterone acetate (Code Type = Prior Authorization)
- Actemra (Tocilizumab) (Code Type = Prior Authorization)
- Actimmune (Interferon gamma-1b) (Code Type = Prior Authorization)
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