|
|
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 |
|
|
|