Rx Management Programs

PROVIDERS: PAs may be submitted via the phone, 800-313-7879 or online, https://ExpressPA.pahub.com.

program	description	reference
Prior Approval	We require providers to request prior approval for certain medications.	Prior Approval List
Quantity Limits	Providers may need to provide documentation if a prescription amount exceeds our criteria.	Quantity Limits List
Step Therapy	Providers should always try less expensive drugs before using the newest, most expensive drugs.	Step Therapy List

program

description

reference

Prior Approval

We require providers to request prior approval for certain medications.

Quantity Limits

Providers may need to provide documentation if a prescription amount exceeds our criteria.

Step Therapy

Providers should always try less expensive drugs before using the newest, most expensive drugs.

3 Tier Drug Plan

Tier	Description	CO-PAY
Tier 1	Generic drugs	LOWEST
Tier 2	Brands on Preferred Brand Name Drug List	MIDDLE
Tier 3	Brands with NO generic, or NOT on Preferred Brand Name Drug List	HIGHEST

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Network Pharmacy Services Review the current and upcoming improvements in our pharmacy network.