Combination NSAID - Commercial

Prior Authorization, Quantity Limit

Weight Loss Agents - Medicaid

Prior Authorization, Quantity Limit

Weight Loss Agents - Commercial

Prior Authorization, Quantity Limit

Topical NSAID - Commercial

Step Therapy, Quantity Limit

Topical Actinic Keratosis, Basal Cell Carcinoma, Genital Wart Agents - Commercial

Prior Authorization, Quantity Limit

Androgens and Anabolic Steroids - Medicaid

Prior Authorization, Quantity Limit

Androgens and Anabolic Steroids - Commercial

Prior Authorization, Quantity Limit

Credentialing and Recredentialing Policy Manual (PDF)

QP7-22 Providers in Ramsey and Scott Counties Should Continue to Provide Care to Blue Plus Members

QP1-22 Commercial Pharmacy Benefit Update – Revised Drug-Related Prior Authorization (PA) Requirement Notification – Effective March 15, 2022