To ensure optimal, cost-effective outcomes that maintain quality of care, we regularly analyze drug trends and utilization.
03/31/20
The right drug at the right price
Together, the pharmacists at Blue Cross and Blue Shield of Minnesota and our pharmacy benefit manager, Prime Therapeutics, use data to shape utilization management programs.
Utilization management includes:
- Prior Authorization. Ensures appropriate use of drugs by requiring pre-approval to verify appropriate prescribing.
- Quantity Limits. Restricts the amount of drugs that a member may receive during a prescribing period. Limits promote safe, cost-effective drug use. They also help reduce waste and overuse.
- Step Therapy. Requires members to try a safe, more clinically effective and in some cases less expensive drug, before they are approved for a more expensive drug.
Detailed pharmacy utilization information
These updates reflects changes in programs based on our latest analyses of trends and utilization data.
2020 Q1-Q2 utilization management updates (PDF)
2019 utilization management updates (PDF)
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