Prior authorization, step therapy and dispensing limits programs encourage safe, cost-effective medication use. These programs may be part of your prescription drug benefits. Log in to your account to review your prescription and pharmacy benefits to find out if your benefit plan has these programs.
Managing Your Prescriptions
When you have prescription and pharmacy benefits through Blue Cross and Blue Shield of Montana, our online tools in your Blue Access for MembersSM account help you find a pharmacy, get a drug at the lowest cost, set up refill alerts and much more.
Managing Your Prescriptions
Prior Authorization
Some prescriptions need approval before your benefit plan covers them. Prior authorization helps make sure the drug is prescribed, managed, and taken safely. Often, a doctor submits information before the prescription is filled.
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Step Therapy
Step therapy encourages the use of preferred drugs before trying a non-preferred drug. Preferred drugs are safe and work well in treating a specific medical condition. They are a cost-effective choice. Often, a non-preferred drug costs more.
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Dispensing Limits
Dispensing limits are rules around the amount of a prescription drug you can fill at a pharmacy at one time. Limits are often based on the drug maker's research. They help encourage safe medication use as intended by the U.S. Food and Drug Administration.
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Prime Therapeutics LLC is a separate company contracted by Blue Cross and Blue Shield of Montana to provide pharmacy solutions. Blue Cross and Blue Shield of Montana, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics LLC.