Phoenix Benefits is contracted directly with your plan sponsor to manage your prescription benefits program. As part of this process we have a contractual obligation to administer the plan laid out by your plan sponsor. Each plan sponsor may have different specifications for medications that require a prior authorization review. Below is a list of the most common medications that typically require a review.
- High Cost Medications (Typically drugs over $1,500)
- Specialty Medications
- Opioid medications
- Drugs that treat ADHD if over a certain age
- Acne medications for members over a certain age
- Fertility medications (if covered)
- Weight Loss Medications (if covered)
- Medications that are injected
Comments
0 comments
Please sign in to leave a comment.