Prior Authorization/Step Therapy Criteria

Medicare Advantage members need prior authorization for these drugs. If you have prescribed or are prescribing one of these drugs for a Medicare Advantage member, call Caremark's Prior Authorization department at 800-294-5979. On behalf of BlueCross BlueShield of South Carolina, Caremark assists in the administration of the program. Caremark is an independent company that provides pharmacy benefits management.

View the Prior Authorization Criteria drug list.

View the Step Therapy Criteria drug list.