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Blue Cross & Blue Shield of Mississippi requires a Prior Authorization for a variety of medications to help ensure you receive the most cost-effective and clinically-effective treatment. This list includes specialized medications which must be dispensed at a Specialty Pharmacy.
Disease Specific Medications
Disease Specific Drugs treat certain chronic disease states such as rheumatoid arthritis, hepatitis, and multiple sclerosis. Disease Specific Drugs treat complex conditions, require special administration, monitoring, education, frequent dosage adjustments and have unusually high costs.
All Disease Specific Drugs must be prescribed by a Network Provider, prior authorized by Blue Cross & Blue Shield of Mississippi, and dispensed by a Disease Specific Pharmacy or Non-Pharmacy Network ProviderÃ¢â?¬Å¡ to be covered. Your Network Provider is responsible for submitting a prior authorization request directly to Blue Cross & Blue Shield of Mississippi for approval.
Visit the My Rx tab of our myBlue member portal for information related to Prior Authorization requirements specific to your benefit plan.