Approved Drug List
Electronic prior authorization
Downloads
Some drugs may require your provider to fill out an authorization form.
- Medicare prior authorization criteria
- Medicare step therapy criteria
- Request for Medicare Part D coverage determination
- Hospice/Part D drug prior authorization request
Drugs covered under the medical benefit
- Physician administered drugs (Injectable Drug List)
- Medicare Part B drug request
- Medicare Part B oncology drug request
Some medical drugs have a drug-specific form.
Learn how to request a drug redetermination (appeal).