OTHER PHARMACY BENEFIT PROGRAMS

ADDITIONAL PHARMACY INFORMATION

Prior Authorization

Certain medications require that the physician or pharmacist contact ClearScript to approve the coverage before it is dispensed. Many of these medications are high cost or have certain requirements. It is best to talk to your doctor or pharmacist if you need a drug that requires a prior authorization.

Step Therapy Drug List

Promoting cost-effective use of medications.

Quantity Limit Drug Program

Learn the maximum amount of medication covered by your drug benefit for one prescription.

Partial Fill Program

For certain high cost specialty medications that sometimes have side effects, you are limited to a maximum 15 day supply for the first six fills. This avoids you paying for medications you may not use. ClearScript Split Fill (PDF)

Understanding Prescription Coupons

Understanding Prescription Coupons (PDF)

Preventive Drug Lists

Discover which medications are considered preventive care and may be covered by your healthcare plan. Fully-insured members will receive preferred insulin products for a $25 copay effective January 1, 2020 or upon your group’s renewal date.