Prior Authorization Lookup

This tool

  • is for outpatient services-inpatient services always require precertification
  • does not show benefits coverage–refer to our state-specific provider manuals for coverage/limitations
  • Please note: Drug description search is case sensitive. You must search using generic/chemical ingredient name and use lower case only.
 

Please note: Does not show benefits coverage — Refer to our Healthy Blue Provider Manual for coverage/limitations.

Click select to view code requirements

Code Description