Prescription drug prior authorization is how Blue Cross Blue Shield of Michigan reviews certain medications before they're covered. The process ensures you're getting the right medication for the right situation.
We may request prior authorization because a drug:
You or your pharmacist should talk to your doctor. There may be another drug you can take that doesn't need prior authorization. If not, you can start the approval process by calling the number on the back of your Blue Cross ID card.
You can also start the approval process by filling out our online coverage determination form.
You can learn how to read a drug list, but generally your pharmacist will tell you if a drug requires prior authorization.