Prescription Drugs That Require Prior Authorization

The medications listed below require prior authorization by Blue Cross & Blue Shield of Mississippi to be covered under your Benefit Plan. Your Network Physician is responsible for submitting a prior authorization directly to Blue Cross & Blue Shield of Mississippi.

Medication 
Actiq Anabolic Steroids
Androgenic Steroids Avita
Celebrex 400mg Ceredase
Chorionic Gonadotropins Differin
Fentora Iplex
Lupron Onsolis
Progesterone Gels Provenge
Retin-A Zoladex