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MEDICARE Coverage limitations drug search

Find the criteria and fax forms for drugs requiring prior authorization, step therapy, quantity limits.

Are you a non-Medicare member?
Go to non-Medicare Drug Search

When you search for your drug, the criteria and corresponding fax form will be displayed, along with details on which plans require the review. Review the drug's information and follow the steps on your plan's form to submit a request.

You can ask our plan to make an exception to these restrictions or limits or for a list of other, similar drugs that may treat your health condition. 
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