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Like hospital stays and some types of procedures and treatments, some drugs need pre-approval. Your doctor’s office, using the information on your ID card, may tell you pre-approval is required for a certain drug. Or your pharmacy will let you know when it’s needed. Some reasons include:
When reviewing drugs and their use, we weigh these things and more. It’s a good idea for you and your doctor to study your prescription drug list when making choices about how to manage your health.
Keep in mind that some drugs may not ever be covered. That may include:
There are hundreds of medications. More are becoming available each day. The pre-approval process helps you get a safe drug that works at the lowest available cost.