Prior authorization for prescription drugs

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.

Member login

Find medicines in your covered drug list and pharmacies in your network.

 

Log in

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.

Find medicines

Request an exception

There are two ways to request an exception so your drug is covered.

Complete an online form

You or your doctor may complete this online exception form to request coverage for your originally prescribed drug.

Online drug coverage exception form

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

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