Important Notice: Our web hosting provider recently started charging us for additional visits, which was unexpected. In response, we're seeking donations. Depending on the situation, we may explore different monetization options for our Community and Expert Contributors. It's crucial to provide more returns for their expertise and offer more Expert Validated Answers or AI Validated Answers. Learn more about our hosting issue here.

How are the lists of prescriptions requiring prior approval and prescriptions with quantity limitations determined and how can they be changed?

April 26, 2017Approval changed limitations lists prescriptions prior quantity requiring

0

Posted

How are the lists of prescriptions requiring prior approval and prescriptions with quantity limitations determined and how can they be changed?

1 Answer

0

Posted

A3: (See updated lists.) These lists are developed and maintained by the Pharmacy and Therapeutics Committee. This committee consists of BlueCross BlueShield of Tennessee pharmacists and physicians as well as practitioners from the community. The lists are established annually and reviewed quarterly and contain medications that are clinically effective as well as cost effective. A member or provider may suggest changes to these lists by faxing their suggestion to 888-343-4232. Each suggestion or request will receive a written response. However, please be aware that the Pharmacy and Therapeutics Committee reviews all suggestions at the quarterly meeting.