Capital blue cross prior authorization form for medication

Q: Who is Capital Blue Cross specialty pharmacy?

Express Scripts® Pharmacy and Accredo are contracted through Prime Therapeutics LLC to provide mail pharmacy and specialty pharmacy services to members of Capital Blue Cross. Not all benefits include separate cost shares for generic preferred or generic nonpreferred drugs.

Q: What does preauthorization PPO mean?

Prior authorization is a way for a PPO to make sure its only paying for healthcare services that are really necessary, so the insurers might require you to get pre-authorization before you have expensive tests, procedures, or treatments.

Q: What is Capital Blue Cross CAIC?

Capital Advantage Insurance Company (CAIC) is a wholly owned subsidiary of Capital Blue Cross that is a licensed insurer with accident and health authority.

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Who is Capital Blue Cross specialty pharmacy?
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Healthcare benefit programs issued or administered by Capital Blue Cross and/or its subsidiaries, Capital Advantage Insurance Company®, Capital Advantage Assurance Company® and Keystone Health Plan® Central. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies.

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Who is Capital Blue Cross specialty pharmacy?

Express Scripts^® Pharmacy and Accredo are contracted through Prime Therapeutics LLC to provide mail pharmacy and specialty pharmacy services to members of Capital Blue Cross. Not all benefits include separate cost shares for generic preferred or generic nonpreferred drugs.

What does preauthorization PPO mean?

Prior authorization is a way for a PPO to make sure it's only paying for healthcare services that are really necessary, so the insurers might require you to get pre-authorization before you have expensive tests, procedures, or treatments.

What is Capital Blue Cross CAIC?

Capital Advantage Insurance Company ("CAIC") is a wholly owned subsidiary of Capital Blue Cross that is a licensed insurer with accident and health authority.

Who is the PBM for Capital Blue Cross?

1These documents are subject to change. On behalf of Capital BlueCross, CVS Caremark assists in the administration of our prescription drug program. CVS Caremark is an independent pharmacy benefit manager. Capital BlueCross makes it easy for you to fill your prescriptions.