Blue Cross Blue Shield of Wyoming relies on our providers to help control the cost of healthcare as it relates to the use of prescription medications. This page is designed to help providers find all of the resources needed to ensure that our members, your patients, are receiving the highest quality pharmaceutical care in the most effective and cost efficient manner possible.
The medical policies are developed under guidance of the Internal Medical Policy Committee. The Committee is composed of Blue Cross Blue Shield of Wyoming clinical and coding staff with medical policy accountability. This Committee provides a formal internal review for consensus, awareness and implementation throughout the company.
Coverage of all medications on the Specialty Pharmacy Management Drug list first requires preauthorization from BCBSWY medical review.
For a list of services that require Pre-certification (preauthorization) click here.
In addition to all Specialty Pharmacy, some medications from our Standard and BlueSelect Formularies require preauthorization. If a medication requires preauthorization, there will be a column indicator on the Prescription Drug List. Preauthorization for medications in the formularies may be completed using the Standard Precertification form below.
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