For members who have prescription drug coverage through Independence Blue Cross (Independence), prior authorization is required for certain prescribed formulary drugs in order for such drugs to be covered. The approval criteria were developed and endorsed by the Pharmacy and Therapeutics Committee and are based on information from the U.S. Food and Drug Administration, manufacturers, medical literature, actively practicing consultant physicians, and appropriate external organizations.
A request form must be completed for all medications that require prior authorization. Prior authorization requests are reviewed by our independent pharmacy benefits manager.
Submitting a prior authorization request
To simplify your experience with prior authorization and save time, please submit your prior authorization request to the pharmacy benefits manager through any of the following online portals: