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Blue Cross and Blue Shield of Florida, Inc.
Scott and White Health Plan, Scott and White Care Plans, and Insurance Company of Scott and White.
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    Med D Pharmacy Prior Authorization Form

    Is this resource helpful? Sometimes the requirement for getting approval in advance helps guide appropriate use of certain drugs. Step therapy is a type of coverage determination that applies to certain drugs. It must be signed by you and by the person who you would like to act on your behalf. Limitations, copayments, and restrictions may apply. Navigate to search page with optional context window. What can you do if your drug is not on the Drug List? Your medications will be reviewed on an ongoing basis. Detection of click on body closes login box if open.

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