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Transparency in prior authorization

Prior authorization requirements

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North Dakota

  

Oklahoma

  

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Some medications may require prior authorization before they are covered under your prescription drug benefit. Prior authorization is a process in which your doctor provides additional clinical information so it can be reviewed, and coverage of the prescribed medication can be determined. This website provides information about coverage requirements that may apply to certain medications. Because benefits vary, these requirements may not apply to every member or every benefit. Coverage is determined by the specific terms, conditions, and exclusions of your prescription benefit. Information on this website does not guarantee that prior authorization is required or that a medication will be covered. For information about your specific coverage and any prior authorization requirements, please review your benefit materials. If you have questions about your coverage or cannot find what you need, please contact Customer Service using the number on your member ID card.

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