Drug costs are one of the biggest challenges to controlling health care costs. BCBSVT engages many tools to ensure members get the best possible medications at the best prices.
|Prior Approval||Some newer, more expensive or frequently over-utilized drugs may require your provider to get advance approval.||Prior
Prior Approval List
|Step Therapy||Providers should always try less expensive drugs before using the newest, most expensive drugs.||Step Therapy List
|Quantity Limits||If a prescription amount exceeds our criteria, your provider may need to provide documentation.
This ensures safe and effective amounts of a drug while controlling waste or inappropriate use.
|Quantity Limits List|