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Drugs requiring prior authorization

Priority Health Medicare requires you or your physician to get pre-authorized for certain drugs. This means that you will need to get approval from Priority Health Medicare before you fill your prescriptions. If you don't get approval up front, Priority Health Medicare may not cover the drug.

Prior authorization drug list, 2012

Click any drug name to open a PDF file showing the criteria we use to authorize it.

ABSTRAL FORTEO ORENCIA TYKERB
ACTEMRA GILENYA PEG-INTRON TYVASO
ACTHAR HP GROWTH HORMONE PROLASTIN/ZEMAIRA VANDETANIB
ACTIMMUNE HUMIRA PROLIA VECTIBIX
AMPYRA INCIVEK PROMACTA VENTAVIS
ARZERRA IVIG PROVIGIL VICTRELIS
BANZEL JAKAFI RELISTOR XALKORI
CAPRELSA JEVTANA REMICADE XOLAIR
CARBAGLU KINERET RITUXAN XYREM
CELEBREX LIDODERM SAMSCA YERVOY
CIMIZIA LOVAZA SANCUSO ZELBORAF
DALIRESP NEBUPENT SIMPONI ZYTIGA
ENBREL NEUPOGEN SOLIRIS ZYVOX
ERBITUX NULOJIX SYLATRON
ERIVEDGE NUVIGIL TESTIM
FIRMAGON ONSOLIS TORISEL
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