Get News & Updates Directly To Your Inbox
Download the BCBSOK App. Your coverage information in the palm of your hand.
Find A Doctor Or Hospital In Your Network.
Prior authorization is a clinical program that only applies to certain types of prescription medicines. These types are those that can be misused, overused or may not be the best choice for your health condition. Prescription medicines subject to the prior authorization program will need pre-approval before they can qualify for coverage under your pharmacy benefit plan. As always, treatment decisions are between you and your doctor.
Most commonly prescribed medicines under your pharmacy benefit plan do not require prior authorization. However, depending upon your specific benefit plan, a prior authorization program may be in effect for one or more prescription drugs prescribed by your doctor.
Your pharmacist will turn in the request for prior authorization if it is required.
Not all drug categories are included in all benefit plans. Additional categories may be added and the program may change from time to time.
To learn more or to check your medications’ requirements, visit bcbsok.com or call the customer service number on your member ID card.
Originally published 5/11/2020; Revised 2021, 2022
Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
© Copyright 2022 Health Care Service Corporation. All Rights Reserved.
Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Oklahoma.
File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com.
Powered by Telligent