Information on this Provider Resource Center site is for members who have moved onto Highmark's systems.
For information related to members who have not moved onto Highmark's systems, please visit bsneny.com/provider.

Prescription Drug Prior Authorization

Some drugs require authorization before they will be covered by the pharmacy benefit program at the point of sale. Highmark members may have prescription drug benefits that require prior authorization for selected drugs.

To initiate a prior authorization request, complete the Prescription Drug Medication Request Form and fax to the number on the form.

To search for drugs and their prior authorization policy, select Pharmacy Policies - SEARCH on the left menu or in the Quicklinks at the top of the page.

Last updated on 10/6/2021 11:45:42 AM

 

To Top