Some drugs require authorization before they will be covered by the pharmacy benefit program at the point of sale. Highmark members may have prescription drug benefits that require prior authorization for selected drugs. Program designs differ. Call the Provider Service Center at 1-866-731-8080, for information regarding specific plans.
For patients with pharmacy benefits through FreedomBlue, you can access drug prior authorizations through NaviNet or your exiting office procedures.
For all other Highmark members, complete the Prescription Drug Medication Request Form and mail it to the address on the form.
To search for drugs and their prior authorization policy, select Pharmacy Policies - SEARCH on the left menu or at the top of the page.