Drug Management Programs

Many of our plans have drug management programs for members. Not all benefit plans are the same. Please ask your clients to check their benefit information to find out which programs apply to them.

Prior Authorization

Most of our members need prior authorization for certain drugs. Learn what these drugs are in our Prior Authorization Drug List. Some plans have more drugs that need prior authorization. 

Quantity Management

This program limits the amount of certain drugs a member’s plan will cover. Learn which drugs have quantity limits in our Quantity Management Drug List.

Dose Management

This program may make a medication plan easier to follow. It lowers the number of tablets members have to take each day. See the drugs included in the program in our Dose Management Drug List.

Step Therapy

Step Therapy requires members to try cost‐effective “First Choice” medications before trying (or "stepping up to") more expensive “Second Choice” medications. Many people find the First Choice medications work just as well for them. View the Step Therapy Drug List.