Some drugs have special requirements that must be met before Prevea360 Medicare Advantage will cover them. Those requirements are:
You may access prior authorization and step therapy forms linked in the table below. This list is organized by drug brand name/class of drug.
If your physician believes that you require a certain medication that is not on your formulary, normally requires step therapy or exceeds a quantity limit, he or she may request an exception through the preauthorization process.