Drugs Requiring Prior Authorization

 

Certain medications require pre-authorization. Your pharmacist will help you arrange for these drugs. Physicians must call Medco or the Fund, according to which list includes the particular medication.

 

Medco

(800) 753-2851
Physicians only

 

Accutane
Edex
Regranex


and


Drug Classes:


Alzheimer's Therapy
Anti-emetic agents
Anti-migraine agents
Erectile dysfunction
Proton pump inhibitors
Weight loss agents


Click here for a complete list

Subject to Change


 

Benefit Fund   

(646) 473-7446

 

Drug Classes:


Attention Deficit Hyperactivity Disorder drugs
Factor VIII Blood Products
Immune globulin products
Growth Hormone Replacement Products
Hyaluronic acid derivative products
Testosterone replacement products

 

Click here for a complete list

Subject to Change


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