Drugs Requiring Prior Authorization

Certain medications require pre-authorization. Your pharmacist will help you arrange for these drugs. Physicians must call Medco or the Fund, according to which list includes the particular medication.

Medco

(800) 753-2851
Physicians only

Accutane
Edex
Regranex

and

Drug Classes:

Alzheimer's Therapy
Anti-emetic agents
Anti-migraine agents
Erectile dysfunction
Proton pump inhibitors
Weight loss agents

Click here for a complete list
Subject to Change

Benefit Fund

(646) 473-7446

Drug Classes:

Attention Deficit Hyperactivity Disorder drugs
Factor VIII Blood Products
Immune globulin products
Growth Hormone Replacement Products
Hyaluronic acid derivative products
Testosterone replacement products

Click here for a complete list
Subject to Change

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