Did you know you can now submit all pharmacy prior authorization requests online?
Our online PA request form is fast, easy and best of all, requires no user IDs or passwords. Remember to bookmark this page for future reference.
- Searchable formulary
- Printable formulary (PDF)
- Generic medications that require a 90-day supply (PDF)
- Pharmacy and Therapeutics (P and T) Committee
Pharmacy prior authorization
Pharmacy prior authorizations are required for pharmaceuticals that are not in the formulary, not normally covered, or which have been indicated as requiring prior authorization.