For members enrolled in an IBC prescription drug program, prior authorization
requirements will be applied to certain drugs. The purpose of prior
authorization is to ensure that drugs are medically necessary and are being
used appropriately. The most recent updates are reflected below.
Drugs requiring prior authorization
The prior authorization requirement for the following non-formulary drugs was
effective at the time the drugs became available in the marketplace:
Brand drug
Generic drug
Drug category
Effective date
Intermezzo
?
Not available
Pain, Nervous System, & Psych
March 23, 2012
Korlym
TM
Not available
Diabetes, Thyroid, Steroids, & Other
Misc Hormones
March 30, 2012
Potiga
TM
Not available
Pain, Nervous System, & Psych
April 20, 2012
Qnasl
TM
Not available
Ear, Nose, Throat Medications
March 30, 2012
Subsys
?
Not available
Pain, Nervous System, & Psych
March 16, 2012
The following drug was added to the list of drugs requiring prior
authorization for new prescriptions. Members taking this drug immediately prior
to the effective date are not affected.
Effective August 1, 2012.
Brand drug
Generic drug
Drug category
Suprenza ODT
TM
Not available
Stomach, Ulcer, & Bowel Meds