Find forms to request prior authorization for various services for Commercial and Blue Medicare HMO℠ and PPO℠ members.
Commercial request forms for specific services
Drugs that require prior authorization are listed on the Prescription Drugs page. Use the prior authorization drug search tool to find the drug and to see its coverage criteria and prior authorization forms for each formulary.
Medicare request forms for specific services
Drugs that require prior authorization are listed on the Prescription Drugs page. Use the prior authorization drug search tool to find the drug and to see its coverage criteria and prior authorization forms for each formulary.