Prior authorization is a process to ensure appropriate prescribing and use of a drug before it will be covered. Coverage may be approved after certain criteria are met.
Covered drug lists and prior authorization
Whether a drug is part of a prior authorization program may depend on your covered drug list (different health plans have different covered drug lists). Many of our covered drug lists work with prior authorization, including all GenRx and KeyRX drug lists. If you have the FlexRx drug list, prior authorization programs vary depending on your health plan.
Medication decisions are between you and your doctor. Only you and your doctor can determine which medication is right for you. Discuss any questions or concerns you have about medications you are taking or are prescribed with your doctor.
Search a drug list
A drug list (formulary) is a list of generic and brand-name drugs covered by a health plan. Not all drugs on the list may be covered by your plan.
Log in to your account for the most up-to-date information for your plan and direct access to your covered drug list.
Individual and family and employer plans drug lists
- You'll need to know the name of your drug list. Refer to your health plan materials or call the number on your member ID card for help.
- You'll need to know the name of your Medicare plan.
Blue Cross members
Log in to find medicines in your covered drug list and pharmacies in your network.
We're here to help
Speak with a Blue Cross representative
1-800-262-0823 (TTY 711)
Connect with a Blue Cross Advisor
Contact your agent or find one near you
Request an exception so your drug is covered
There are two ways to request an exception:
Complete an online form
You or your doctor may complete this online exception form to request coverage for your originally prescribed drug.
Print, complete and fax or mail a form:
Your doctor can complete this form and fax or mail it to the contact information on the form.
MN Uniform Form for Medical Drug PA Request and Formulary Exceptions