Prior authorization is advance approval for certain medications and is required in some cases. Your network physician handles the prior authorization process by sending a written request to AAHPS. Following review of the request, the medication will be approved or disallowed depending on the information provided on the Prior Authorizations Form. A provider may obtain a copy of this form from the Member Services Department of Athens Area Health Plan Select. The following is a list of medications currently requiring prior authorization. As new drugs are approved, some may require prior authorization before being added to the Prescription Drug Plan. This list is subject to change at the discretion of the Pharmacy and Therapeutic Committee.
- Anzemet *
- Accutane
- Diflucan, except 150 mg tablets
- Lamisil
- Sporanox
- Zofran *
- Lyrica
- Provigil
- All specialty injectable medications **
*If the request for prior authorization is approved, Managed Drug Limitation parameters will apply.
**If the request for prior authorization is approved, drug is to be obtained through the Specialty Rx program.
Please contact our Member Services Department for more information regarding Prior Authorization Drugs.
