Prior Authorization and Step Therapy Guidelines

The Prior Authorization and Step Therapy Guidelines is the cornerstone of BCN Pharmacy Services' efforts to ensure high-quality pharmaceutical care while reducing costs. This program manages the use of certain medications for which there are equally effective, less costly alternatives available.

• Custom Drug List Prior Authorization and Step Therapy Guidelines (PDF)
• Custom Select Drug List Prior Authorization and Step Therapy Guidelines (PDF)
• Comprehensive Drug List Prior Authorization and Step Therapy Guidelines (PDF)

If any of your patients don't meet Blue Care Network's requirements for prior authorization or step therapy, you can request coverage for them.